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16:39:52","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-includes\/images\/media\/default.png","width":2000,"height":1066,"sizes":{"thumbnail":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-300x160.jpg","medium-width":300,"medium-height":160,"medium_large":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-768x409.jpg","medium_large-width":768,"medium_large-height":409,"large":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-1024x546.jpg","large-width":1024,"large-height":546,"1536x1536":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-1536x819.jpg","1536x1536-width":1536,"1536x1536-height":819,"2048x2048":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2.jpg","2048x2048-width":2000,"2048x2048-height":1066,"blog-author-thumbnail":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-150x150.jpg","blog-author-thumbnail-width":150,"blog-author-thumbnail-height":150,"lowres":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-100x53.jpg","lowres-width":100,"lowres-height":53,"square-md":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-480x480.jpg","square-md-width":480,"square-md-height":480,"rectangle-md":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-550x300.jpg","rectangle-md-width":550,"rectangle-md-height":300,"16x9-xs":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-480x270.jpg","16x9-xs-width":480,"16x9-xs-height":270,"masthead":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-1440x400.jpg","masthead-width":1440,"masthead-height":400,"hero":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-1440x835.jpg","hero-width":1440,"hero-height":835,"hero-md":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-1024x768.jpg","hero-md-width":1024,"hero-md-height":768,"hero-sm":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-768x320.jpg","hero-sm-width":768,"hero-sm-height":320,"hero-xs":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-460x260.jpg","hero-xs-width":460,"hero-xs-height":260,"hero-xxs":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2-320x260.jpg","hero-xxs-width":320,"hero-xxs-height":260,"gform-image-choice-sm":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2.jpg","gform-image-choice-sm-width":300,"gform-image-choice-sm-height":160,"gform-image-choice-md":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2.jpg","gform-image-choice-md-width":400,"gform-image-choice-md-height":213,"gform-image-choice-lg":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/09\/Endocrine-header-2.jpg","gform-image-choice-lg-width":600,"gform-image-choice-lg-height":320}}}],"layer_background_color":"","layer_id":""},"layers":[{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<figure id=\"attachment_1370\" aria-describedby=\"caption-attachment-1370\" style=\"width: 400px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Endocrine-team-at-Saint-Johns-Health-Center.jpg\" alt=\"Endocrine team at Saint John&#039;s Health Center\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1370\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Endocrine-team-at-Saint-Johns-Health-Center.jpg 800w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Endocrine-team-at-Saint-Johns-Health-Center-300x188.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Endocrine-team-at-Saint-Johns-Health-Center-768x482.jpg 768w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Endocrine-team-at-Saint-Johns-Health-Center-100x63.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-1370\" class=\"wp-caption-text\">The specialists at Saint John&#8217;s Health Center treat a variety of endocrine and thyroid related conditions.<\/figcaption><\/figure>\n<p style=\"font-size:26px;line-height:30px;font-weight:bold;color:#042f72;\">Our specialists bring together endocrinology, minimally invasive thyroid treatments and surgery, advanced imaging, and expert pathology to help streamline evaluation and create highly effective and personalized treatment plans. <\/p>\n<p style=\"font-size:26px;line-height:30px;font-weight:bold;color:#042f72;\">We focus on evidence-based care and life-long support tailored to each patient\u2019s needs.<\/p>\n<h2>Comprehensive Thyroid and Endocrine Care<\/h2>\n<p>Our board-certified endocrinologists and expert surgeons offer specialized care for a wide range of hormone-related and metabolic disorders, as well as treatment of benign and malignant thyroid conditions, such as thyroid cancer. We collaborate with other Providence Saint John\u2019s Health Center specialists and proactively coordinate testing, imaging, and treatment in a way that is more efficient and patient-centered. We aim to provide thorough evaluation and practical next steps that help patients understand what\u2019s going on and what options may be available to them.<\/p>\n<div style=\"padding-left:3%\">\n<h3>A Parathyroid Center of Excellence<\/h3>\n<p>We offer comprehensive evaluation and treatment planning for hyperparathyroidism and related calcium disorders. Patients benefit from advanced imaging, including clinic ultrasound and state-of-the-art 3D parathyroid imaging for localization. When surgery is recommended, our team specializes in image-guided approaches designed to support improved outcomes and rapid recovery.<\/p>\n<\/div>\n<h2>Thyroid Nodule Clinic<\/h2>\n<p>Our Thyroid Nodule Clinic in Santa Monica offers streamlined evaluation that may include ultrasound imaging, ultrasound-guided biopsy, and on-site pathology review when indicated. This approach can reduce delays and help patients receive a clearer plan of care sooner, such as with the treatment of thyroid nodules. <\/p>\n<div style=\"padding-left:3%\">\n<h3>Thyroid Radiofrequency Ablation (RFA): A Newer, Minimally Invasive Procedure<\/h3>\n<p>Benign thyroid nodules can sometimes grow and cause symptoms such as swallowing or breathing discomfort, persistent cough, or cosmetic concerns. For selected patients, <a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/thyroid-radiofrequency-ablation\/\">Thyroid Radiofrequency ablation (RFA)<\/a> may offer a non-surgical outpatient option to reduce nodule size.<\/p>\n<figure id=\"attachment_1353\" aria-describedby=\"caption-attachment-1353\" style=\"width: 380px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Dr.-Melanie-goldfarb-perform-a-routine-examination-of-the-thyroid-gland.jpg\" alt=\"Dr. Melanie Goldfarb performs a routine examination of the thyroid gland\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1353\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Dr.-Melanie-goldfarb-perform-a-routine-examination-of-the-thyroid-gland.jpg 900w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Dr.-Melanie-goldfarb-perform-a-routine-examination-of-the-thyroid-gland-300x186.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Dr.-Melanie-goldfarb-perform-a-routine-examination-of-the-thyroid-gland-768x477.jpg 768w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Dr.-Melanie-goldfarb-perform-a-routine-examination-of-the-thyroid-gland-100x62.jpg 100w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><figcaption id=\"caption-attachment-1353\" class=\"wp-caption-text\">Dr. Melanie Goldfarb, thyroid specialist and surgeon, performs a routine examination of the thyroid gland.<\/figcaption><\/figure>\n<p>RFA is outpatient procedure performed under ultrasound guidance. It uses controlled energy delivered to targeted tissue to kill tumor cells while preserving surrounding thyroid function. Many patients are able to return to usual activities quickly after the procedure.<\/p>\n<p><strong>Potential benefits of RFA may include:<\/strong><\/p>\n<ul style=\"margin-top:-15px; line-height:18px\">\n<li>No general anesthesia<\/li>\n<li>Minimal recovery time<\/li>\n<li>Preservation of thyroid function<\/li>\n<li>Quick return to daily activity<\/li>\n<\/ul>\n<\/div>\n<p>Patients are often referred to our clinic when symptoms, lab results, or imaging suggest a thyroid, parathyroid, adrenal, bone, or metabolic condition.<\/p>\n<h2>Conditions We Treat<\/h2>\n<p>We evaluate and manage a broad spectrum of endocrine conditions, including tumors and hormone disorders involving the adrenal, thyroid, and parathyroid glands. The categories below reflect the way many patients enter care\u2014based on symptoms, imaging findings, or abnormal lab results\u2014and help guide you to condition-specific information.<\/p>\n<div style=\"padding-left:3%\">\n<h3 style=\"margin-bottom:-13px\">Adrenal Disorders<\/h3>\n<figure id=\"attachment_1342\" aria-describedby=\"caption-attachment-1342\" style=\"width: 380px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2024\/07\/cushings-syndrome-patient-consulting-with-doctor.jpg\" alt=\"Cushings-Syndrome-patient-consulting-with-doctor - Saint John&#039;s Cancer Institute\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1342\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2024\/07\/cushings-syndrome-patient-consulting-with-doctor.jpg 760w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2024\/07\/cushings-syndrome-patient-consulting-with-doctor-300x200.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2024\/07\/cushings-syndrome-patient-consulting-with-doctor-100x67.jpg 100w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/><figcaption id=\"caption-attachment-1342\" class=\"wp-caption-text\">Women between 30 to 50 years of age have a  greater predisposition for Cushing&#8217;s Syndrome.<\/figcaption><\/figure>\n<p>Adrenal conditions can affect blood pressure, metabolism, and stress hormone regulation. Our specialists evaluate adrenal masses and hormone-secreting tumors using advanced imaging and biochemical testing to clarify diagnosis and guide care. When appropriate, we coordinate treatment planning with endocrine surgeons and other specialists to support safe, individualized management.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/adrenal-cancer\/\">Adrenal Cancer<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/adrenal-masses\/\">Adrenal Masses<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/cushings-syndrome-adrenal\/\">Cushing Syndrome (Adrenal)<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/hyperaldosteronism-conns\/\"><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/hyperaldosteronism-conns\/\">Hyperaldosteronism (Conn\u2019s Syndrome)<\/a><\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/pheochromocytoma-and-paraganglioma\/\">Pheochromocytoma and Paraganglioma<\/a><\/li>\n<\/ul>\n<h3 style=\"margin-bottom:-13px\">Thyroid Disorders<\/h3>\n<figure id=\"attachment_1352\" aria-describedby=\"caption-attachment-1352\" style=\"width: 380px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Women-with-autoimmune-disease-Hyperthyroidism-Risks.jpg\" alt=\"Women with autoimmune disease - Hyperthyroidism Risks\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1352\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Women-with-autoimmune-disease-Hyperthyroidism-Risks.jpg 800w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Women-with-autoimmune-disease-Hyperthyroidism-Risks-300x230.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Women-with-autoimmune-disease-Hyperthyroidism-Risks-768x588.jpg 768w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2025\/12\/Women-with-autoimmune-disease-Hyperthyroidism-Risks-100x77.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-1352\" class=\"wp-caption-text\">Women with autoimmune disease at at increased risk of hyperthyroidism.<\/figcaption><\/figure>\n<p>The thyroid helps regulate metabolism, temperature, heart rate, and energy balance. Thyroid conditions may present differntly among adults and with a variety symptoms, including abnormal blood tests or imaging findings such as nodules or tumors. Our team offers comprehensive evaluation, including ultrasound and biopsy when indicated, and coordinates treatment planning across endocrinology and endocrine surgery.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/hyperthyroidism\/\">Hyperthyroidism (Overactive Thyroid)<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/hypothyroidism\/\">Hypothyroidism (Underactive Thyroid)<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/thyroid-nodules\/\">Thyroid Nodules<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/thyroid-cancer\/\">Thyroid Cancer<\/a><\/li>\n<\/ul>\n<div style=\"margin-top:40px; float:none\">&nbsp;<\/div>\n<h3 style=\"margin-bottom:-13px\">Parathyroid &amp; Calcium Disorders<\/h3>\n<figure id=\"attachment_1376\" aria-describedby=\"caption-attachment-1376\" style=\"width: 380px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Healthy-bone-and-osteoporosis.jpg\" alt=\"Healthy bone compared to osteoporosis.\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1376\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Healthy-bone-and-osteoporosis.jpg 800w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Healthy-bone-and-osteoporosis-300x200.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Healthy-bone-and-osteoporosis-768x512.jpg 768w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/Healthy-bone-and-osteoporosis-100x67.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-1376\" class=\"wp-caption-text\">Properly evaluating hormone changes helps us provide more effective treatment plans.<\/figcaption><\/figure>\n<p>The parathyroid glands play a key role in regulating calcium levels, which affects bone strength, kidney health, and neuromuscular function. Parathyroid conditions may be discovered through elevated calcium levels, bone density loss, kidney stones, or related symptoms. We use advanced imaging and lab evaluation to confirm diagnosis and guide treatment planning, including minimally invasive approaches when surgery is recommended.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/hyperparathyroidism\/\">Hyperparathyroidism<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/osteoporosis\/\">Osteoporosis<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/other-bone-disorders\/\">Other Bone Disorders<\/a><\/li>\n<\/ul>\n<h3 style=\"margin-bottom:-13px\">Genetic &amp; Syndromic Conditions<\/h3>\n<p>Some endocrine tumors and hormone disorders occur as part of inherited syndromes. When a genetic or syndromic condition is suspected, evaluation may include family history review, targeted testing, and coordinated care planning. Our team helps patients understand what findings may suggest a hereditary condition and what next steps may be appropriate for long-term monitoring and family risk assessment.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/men-and-other-inherited-endocrine-syndromes\/\">Multiple Endocrine Neoplasia (MEN) and other inherited syndromes<\/a><\/li>\n<\/ul>\n<h3 style=\"margin-bottom:-13px\">Special Populations<\/h3>\n<p>Endocrine conditions can affect children and adolescents differently than adults and may require age-specific evaluation and follow-up. We support pediatric endocrinology needs in collaboration with appropriate specialists. Care plans consider growth, development, and long-term health monitoring tailored to each patient\u2019s stage of life.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/conditions\/pediatric-thyroid-and-endocrine-conditions\/\">Pediatric Endocrinology (Children and Adolescents)<\/a><\/li>\n<\/ul>\n<\/div>\n<h3 style=\"text-align:center; margin-top:80px\">Thyroid &#038; Endocrine Experts Answer the Questions Patients are Asking <\/h3>\n<div style=\"padding-left:7%; padding-right:7%\">\n<div style=\"position: relative; padding-top: 56.25%; box-shadow: -2px 3px 28px 14px rgba(0,71,138,0.35);-webkit-box-shadow: -2px 3px 28px 14px rgba(0,71,138,0.35);-moz-box-shadow: -2px 3px 28px 14px rgba(0,71,138,0.35);\" align=\"center\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" src=\"https:\/\/www.youtube.com\/embed\/bpYDAWdEJto?rel=0&amp;autoplay=1\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<div style=\"text-align: center\" align=\"center\">\n<p style=\"text-align: center; font-size: 14px; line-height: 14px; margin-top: 15px; color: #101010;\">Listen to Dr. Melanie Goldfarb, Director of the Center for Endocrine Tumors and Disorders, and Professor of Surgery, along with Rose Lin, MD, and Sarah Rettinger, MD, Endocrinologists, reveal common practices and the more nuanced scenarios when it comes to thyroid treatment.<\/p>\n<\/div>\n<h2 style=\"padding-top:60px\">Diagnosis and Treatment Options<\/h2>\n<p>Evaluation often begins with a combination of detailed history, laboratory testing, and imaging. When treatment is needed, options may include medication management, image-guided procedures, or minimally invasive surgery, depending on the diagnosis and each patient\u2019s overall health goals.<\/p>\n<p><strong><\/p>\n<p>The sections below reflect common diagnostic and treatment pathways offered through our program.<\/p>\n<p><\/strong><\/p>\n<div style=\"padding-left:3%\">\n<h3 style=\"margin-bottom:-13px\">Thyroid Diagnostics &amp; Treatments<\/h3>\n<figure id=\"attachment_1363\" aria-describedby=\"caption-attachment-1363\" style=\"width: 380px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/signs-and-symptoms-of-thyroid-nodules.jpg\" alt=\"signs and symptoms of thyroid nodules\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1363\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/signs-and-symptoms-of-thyroid-nodules.jpg 800w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/signs-and-symptoms-of-thyroid-nodules-300x219.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/signs-and-symptoms-of-thyroid-nodules-768x561.jpg 768w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2026\/01\/signs-and-symptoms-of-thyroid-nodules-100x73.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-1363\" class=\"wp-caption-text\">One or more symptoms may present with thyroid noldules depending on their size and location.<\/figcaption><\/figure>\n<p>Thyroid evaluation often includes ultrasound imaging and, when appropriate, biopsy and molecular testing to better understand nodule characteristics. Treatment options range from medication to procedural and surgical care depending on the condition and clinical findings.<\/p>\n<p>Our team coordinates care to help patients understand which steps are recommended and why, with attention to safety, long-term thyroid function, and recovery.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/thyroid-biopsy-and-molecular-testing\/\">Thyroid Biopsy and Molecular Testing<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/thyroid-ultrasound\/\">Thyroid Ultrasound<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/thyroid-radiofrequency-ablation\/\">Thyroid Radiofrequency Ablation (RFA)<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/thyroidectomy\/\">Thyroidectomy<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/radioactive-iodine\/\">Radioactive Iodine Therapy<\/a><\/li>\n<\/ul>\n<h3 style=\"margin-bottom:-13px\">Parathyroid Diagnostics &amp; Treatments<\/h3>\n<p>Parathyroid evaluation typically involves lab testing and specialized imaging to localize abnormal glands and guide treatment decisions. When surgery is recommended, minimally invasive approaches may be appropriate for selected patients based on imaging and clinical factors.<\/p>\n<p>Our care pathway is designed to support accurate diagnosis, clear planning, and coordinated follow-up.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/parathyroid-imaging\/\">Parathyroid Imaging<\/a><\/li>\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/parathyroidectomy\/\">Parathyroidectomy<\/a><\/li>\n<\/ul>\n<h3 style=\"margin-bottom:-13px\">Adrenal Treatments<\/h3>\n<figure id=\"attachment_1328\" aria-describedby=\"caption-attachment-1328\" style=\"width: 380px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2022\/01\/dr-melanie-goldfarb-performs-hyperparathyroid-surgery.jpg\" alt=\"Dr. Melanie Goldfarb performs parathyroid surgery - Saint John&#039;s Health Center\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1328\" srcset=\"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2022\/01\/dr-melanie-goldfarb-performs-hyperparathyroid-surgery.jpg 800w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2022\/01\/dr-melanie-goldfarb-performs-hyperparathyroid-surgery-300x214.jpg 300w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2022\/01\/dr-melanie-goldfarb-performs-hyperparathyroid-surgery-768x548.jpg 768w, https:\/\/www.saintjohnscancer.org\/endocrine\/wp-content\/uploads\/sites\/3\/2022\/01\/dr-melanie-goldfarb-performs-hyperparathyroid-surgery-100x71.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-1328\" class=\"wp-caption-text\">Dr. Melanie Goldfarb performs laparoscopic adrenalectomy &#8211; Saint John&#8217;s Health Center<\/figcaption><\/figure>\n<p>For adrenal tumors or hormone-secreting conditions requiring surgery, minimally invasive adrenalectomy may be an option for many patients, while open surgery is used when clinically appropriate. Surgical planning is guided by imaging, hormone testing, and individualized risk assessment.<\/p>\n<p>Our team coordinates evaluation and follow-up to support safe outcomes and long-term hormone balance.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/laparoscopic-and-open-adrenaclectomy\/\">Laparoscopic Adrenalectomy and Open Adrenalectomy<\/a><\/li>\n<\/ul>\n<h3 style=\"margin-bottom:-13px\">General Endocrine Therapies<\/h3>\n<p>Many endocrine conditions are managed with medication and long-term monitoring. Our endocrinologists tailor therapy to each patient\u2019s lab values, symptoms, and overall health profile. When additional specialty care is needed, we coordinate with surgical, oncology, and other teams to support comprehensive management.<\/p>\n<ul style=\"line-height:18px\">\n<li><a href=\"https:\/\/www.saintjohnscancer.org\/endocrine\/diagnosis-and-treatment\/hormone-therapy\/\">Hormone Therapy<\/a><\/li>\n<li>Radiation Oncology (<a href=\"https:\/\/www.saintjohnscancer.org\/radiation-oncology\/\" target=\"_blank\">Vasek Polak Radiation Oncology at Providence Saint John\u2019s Health Center)<\/a><\/li>\n<\/ul>\n<\/div>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"","layer_id":""},{"acf_fc_layout":"layer_two_column","layer_label":"","layer_headline":"","layer_intro":"","layer_content_left":"<p style=\"font-size: 36px;line-height: 40px;font-weight: bold;color: #fff!important;padding-bottom: 0px\">If you have questions about endocrine or thyroid-related conditions, please call today. <a href=\"https:\/\/www.saintjohnscancer.org\/contact-us\/?center=Endocrine%20and%20Tumor%20Disorders\"><u>Click here<\/u><\/a> to request an appointment.<\/p>\n","layer_content_right":"<p style=\"margin-top:8%;margin-bottom:5%;font-size: 40px;font-weight: bold;vertical-align:center; text-align: center\"><a href=\"tel:310-829-8751\">310-829-8751<\/a><\/p>\n","layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-orange","layer_id":""},{"acf_fc_layout":"layer_people","layer_label":"","layer_headline":"","layer_intro":"<h2>Meet Our Endocrinology and Thyroid Surgery Team<\/h2>\n<p>Our program brings together fellowship-trained endocrine surgery expertise and experienced endocrinologists who provide comprehensive care for endocrine tumors, cancers, and hormone disorders here in Santa Monica, CA. We focus on thoughtful evaluation, clear communication, and care plans that reflect each patient\u2019s goals.<\/p>\n","people":{"856":{"id":856,"title":"Melanie Goldfarb, MD, MSc, FACS, FACE"},"881":{"id":881,"title":"Sarah Rettinger, M.D., FACE"},"3879":{"id":3879,"title":"Rose H. Lin, M.D."}},"layer_people_more_link":"","layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_testimonial_image_slider","layer_slider_headline":"Testimonials","layer_testimonial_slides":[{"quote":"Dr. Goldfarb is an incredibly talented endocrine surgeon. Her calming temperament, coupled with her understated confidence, made me comfortable throughout my appointment.  ","cite":"Endocrine patient","links":false},{"quote":"Dr. Rettinger is by far the most competent, caring and thorough physician I have ever encountered. I simply cannot praise her highly enough.  Dr. Rettinger listened with compassion, made a treatment plan together with me, and then patiently answered questions.","cite":"Endocrine patient","links":false},{"quote":"Dr. Melanie Goldfarb eased my anxiety from start to finish, as I dealt with learning I had Thyroid cancer. Her deliberate calmness and complete confidence made me trust her as my dedicated doctor and surgeon. ","cite":"Endocrine patient","links":false}],"layer_img":1071,"layer_img_position":"left","layer_img_size":"cover","layer_img_is_fade":true,"layer_background_color":"bg-primary","layer_id":""},{"acf_fc_layout":"layer_featured_blog_items","layer_label":"","layer_headline":"Latest News From Our Blog","layer_intro":"","layer_featuredblog_col_width":"quarters","layer_featuredblog_pullbycat":"blog","layer_featuredblog_selectblogcat":["endocrine"],"layer_featuredblog_selectblogauth":[],"layer_featuredblog_more_link":{"title":"Read More Endocrine Articles","url":"https:\/\/www.saintjohnscancer.org\/blog\/category\/endocrine\/","target":""},"layer_background_color":"bg-gray-l","layer_id":""}],"int_alt_page_title":"","int_page_description":"","int_masthead_image":false,"int_page_icon":"","int_secondary_cta_override":623,"int_secondary_cta_is_hidden":false,"content_grid_group":{"":null,"layer_label":"","layer_headline":"","layer_intro":"","layer_content_grid_col_width":"thirds","layer_content_grid_items":false,"layer_content_grid_more_link":"","layer_background_color":"","layer_id":""},"header_scripts":""},"_links":{"self":[{"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/pages\/108","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/comments?post=108"}],"version-history":[{"count":0,"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/pages\/108\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.saintjohnscancer.org\/endocrine\/wp-json\/wp\/v2\/media?parent=108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}