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Sanziana A. Roman, M.D., FACS

Sanziana A. Roman, M.D., FACS

Professor of Surgery
Division of General Surgery
Section of Endocrine Surgery
Director of Learning and Teaching
in the Procedural Specialties
Dean’s Diversity Leader for Leadership
Equity and Inclusion
UCSF School of Medicine

Contact Information

1600 Divisadero Street, Room A726 Box 1674
San Francisco CA 94143
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  • Cornell University, Ithaca, NY 1990 B.A.
  • Columbia University College of Physicians and Surgeons, New York, NY 1994 M.D.
  • Yale New Haven Hospital, New Haven, CT Internship 1994-95
  • Yale New Haven Hospital, New Haven, CT General Surgery Residency 1995-99
  • American Board of Surgery, General Surgery
  • Adrenal Tumors
  • Adrenocortical Carcinoma
  • Aldosteronoma
  • Conn's Syndrome
  • Cushing's Syndrome
  • Goiter
  • Graves' Disease
  • Hyperparathyroidism
  • Hyperthyroidism
  • Laparoscopic Endocrine Surgery
  • Multinodular Goiter
  • Multiple Endocrine Neoplasia (MEN) Syndromes
  • Paraganglioma
  • Parathyroid Cancer
  • Parathyroidectomy
  • Pediatric Thyroid Surgery
  • Pheochromocytoma
  • Posterior Retroperitoneoscopic Adrenalectomy
  • Thyroid Cancer
  • Thyroid Nodules
  • Thyroidectomy
  • Diversity and Inclusion
  • Education
  • Health Services
  • Outcomes Analysis
  • Patient Reported Outcomes
  • Professional Development
  • Romanian, German, French, Italian, Spanish

Sanziana A. Roman, M.D., FACS is Professor of Surgery with a clinical interest in endocrine and minimally invasive surgery, with a focus in thyroid and adrenal diseases, including pediatric and adult endocrine tumors. She is one of few high-volume adrenal surgeons around the country performing posterior retroperitoneoscopic adrenalectomy. She is the author of more than 180 peer-reviewed publications in outcomes analysis, cost-effectiveness/decision analysis, meta-analysis, and survey-based methodologies, as well as stem cell research.

Dr. Roman currently serves as the Director of Learning and Teaching in the Procedural Specialties and the Dean's Diversity Leader for Leadership Equity and Inclusion in the School of Medicine at UCSF. She has a national and international reputation in endocrine surgery and education, having served as the Co-Director of the Fellowship Programs of the American Association of Endocrine Surgeons, and is an active member of leadership committees of several national academic societies, including the American Association of Endocrine Surgeons, the Association for Academic Surgery and the American Thyroid Association.

Prior to her arrival at UCSF, she was a tenured Professor of Surgery at Duke University, where she served as the Director of the Endocrine Surgery Fellowship Program and the Associate Chief of the Division of Advanced Oncologic and Gastrointestinal Surgery.

Dr. Roman organized a symposium about women in surgery, reported on in the World Journal of Surgery in June 2018. The result was powerful testimonials from women surgeons, from Europe to the United States,from Africa to Australia and Asia, reflecting the culture of the place where their career took place. Despite their cultural differences, they all had in common the struggle to establish themselves in the surgical profession, traditionally a male-dominated field.

Dr. Roman's research interests are in health services, clinical trials, and translational research. The endocrine research group has included collaborators from endocrinology, stem cells, biostatistics, pharmacoeconomics, health services research, surgery, pathology, and medical and radiation oncology. Using sophisticated methodologic and biostatistical approaches, the research is focused on identifying ways to optimize patient clinical and economic outcomes following surgery and adjuvant treatments focused in the arena of thyroid, parathyroid, adrenal, and endocrine pancreas diseases. Practice guidelines have changed as a result of this work. Dr. Roman has experience working with clinical and administrative databases, including Medicare-SEER, NCDB, NSQIP, and HCUP-US NIS, SID, and SASD. In addition, she is interested in educational research and equity in medicine.

Most recent publications from a total of 199
  1. Ahmadi S, Gonzalez Sepulveda JM, Talbott M, Reed S, Yang JC, Scheri RP, Stang M, Roman S, Sosa JA. Patient preferences around extent of surgery in low-risk thyroid cancer: A discrete-choice experiment. Thyroid. 2020 Mar 06. View in PubMed
  2. Kim J, Roman SA. We Asked the Experts: How Can One Troubleshoot Loss of Intraoperative Nerve Monitoring During Head and Neck Surgery? World J Surg. 2020 Jan 29. View in PubMed
  3. Kazaure HS, Zambeli-Ljepovic A, Oyekunle T, Roman SA, Sosa JA, Stang MT, Scheri RP. Severe Hypocalcemia After Thyroidectomy: An Analysis of 7366 Patients. Ann Surg. 2019 Dec 05. View in PubMed
  4. Berger M, Murdoch DM, Staats JS, Chan C, Thomas JP, Garrigues GE, Browndyke JN, Cooter M, Quinones QJ, Mathew JP, Weinhold KJ, Amundsen CL, Bengali S, Brigman BE, Bullock WM, Carter J, Chapman J, Cheong Yee Ching V, Cohen HJ, Colin B, D'Amico TA, Devinney MJ, DeOrio JK, Ellet T, Esclamado RM, Ferrandino MN, Gadsden J, Guercio J, Habib A, Harpole DH, Hartwig MG, Iboaya E, Inman BA, Khan A, Lagoo-Deenadayalan S, Lee PS, Lee WT, Lemm J, Levinson H, Mantyh C, McDonagh DL, Migaly J, Mithani SK, Moretti E, Moul JW, Newman MF, Ni K, Ohlendorf B, Perez A, Peterson AC, Ponussamy V, Preminger GM, Robertson CN, Roman SA, Runyon S, Sandler A, Scheri RP, Smith SK, Talbot L, Thacker JKM, Tong BC, Tu A, Vaslef SN, Waldron N, Wang X, Whitson H, Wickenheisser V, Young C. Flow Cytometry Characterization of Cerebrospinal Fluid Monocytes in Patients With Postoperative Cognitive Dysfunction: A Pilot Study. Anesth Analg. 2019 11; 129(5):e150-e154. View in PubMed
  5. Kim J, Gosnell JE, Roman SA. Geographic influences in the global rise of thyroid cancer. Nat Rev Endocrinol. 2020 Jan; 16(1):17-29. View in PubMed
  6. Ahmadi S, Roman SA, Sosa JA. RE: RE: A DIRECT COMPARISON OF THE ATA AND TI-RADS ULTRASOUND SCORING SYSTEMS. Endocr Pract. 2019 09; 25(9):975. View in PubMed
  7. Ji KSY, Oyekunle TO, Thomas SM, Scheri R, Stang M, Roman SA, Sosa JA. Adequacy of Lymph Node Yield for Papillary Thyroid Cancer: An Analysis of 23,131 Patients. J Surg Res. 2019 12; 244:566-573. View in PubMed
  8. Zambeli-Ljepovic A, Wang F, Dinan MA, Hyslop T, Stang MT, Roman SA, Sosa JA, Scheri RP. Extent of surgery for low-risk thyroid cancer in the elderly: Equipoise in survival but not in short-term outcomes. Surgery. 2019 11; 166(5):895-900. View in PubMed
  9. Zambeli-Ljepovic A, Wang F, Dinan MA, Hyslop T, Roman SA, Sosa JA, Scheri RP. Low-Risk Thyroid Cancer in Elderly: Total Thyroidectomy/RAI Predominates but Lacks Survival Advantage. J Surg Res. 2019 11; 243:189-197. View in PubMed
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