Skip to main content

Rachel Adams Greenup, MD, MPH

Associate Professor of Surgery
Associate Professor in Population Health Sciences
Campus Mail: DUMC DUMC 3513, Durham, NC 27710

Dr. Greenup is an Associate Professor of Surgery and Population Health Sciences at the Duke School of Medicine and Duke Cancer Institute. She is the founder and co-director of the Duke Breast Cancer Outcomes Research Group, and Core Faculty for the Duke Margolis Center for Health Policy.

She earned her undergraduate degrees in Zoology and Psychology at the University of Wisconsin, where she later completed a Masters in Public Health. She attended the Medical College of Wisconsin for Medical School and General Surgery Residency, and went on to complete a Breast Surgical Oncology Fellowship at the Massachusetts General Hospital, Dana Farber Cancer Institute, and Brigham and Women’s Hospital. In 2016, she received the National Institutes of Health Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) Award to evaluate how financial costs and burden relate to preference-sensitive decisions for breast cancer surgery. In 2017, she was named the American College of Surgeons & American Society of Breast Surgeons Health Policy Scholar. More broadly, her research focuses on aligning patient-centered care with high quality, lower cost treatment.

Dr. Greenup serves on several national committees, including the Alliance in Clinical Oncology Ethics and Value Committees, the American College of Surgeons Cancer Care Delivery Task Force, the American Society of Breast Surgeons Legislative Committee, and the Editorial Board for the Annals of Surgical Oncology. 

Education and Training

  • Breast Surgical Oncology Fellow, Massachusetts General Hospital, 2011 - 2012
  • Internship/General Surgery Residency, Medical College of Wisconsin, 2004 - 2011
  • M.P.H., University of Wisconsin at Madison, 2009
  • M.D., Medical College of Wisconsin, 2004


Rosenberger, Laura H., Yi Ren, Samantha M. Thomas, Rachel A. Greenup, Oluwadamilola M. Fayanju, E Shelley Hwang, and Jennifer K. Plichta. “Axillary lymph node dissection in node-positive breast cancer: are ten nodes adequate and when is enough, enough?.” In Breast Cancer Res Treat, 2019.

Full Text

Fayanju, Oluwadamilola M., Yi Ren, Gita Suneja, Samantha M. Thomas, Rachel A. Greenup, Jennifer K. Plichta, Laura H. Rosenberger, Jeremy Force, Terry Hyslop, and E Shelley Hwang. “Nodal Response to Neoadjuvant Chemotherapy Predicts Receipt of Radiation Therapy after Breast Cancer Diagnosis..” Int J Radiat Oncol Biol Phys, October 31, 2019.

Full Text

Plichta, Jennifer K., Samantha M. Thomas, Amanda R. Sergesketter, Rachel A. Greenup, Oluwadamilola M. Fayanju, Laura H. Rosenberger, Nina Tamirisa, Terry Hyslop, and E Shelley Hwang. “Clinical and pathological stage discordance among 433,514 breast cancer patients..” Am J Surg 218, no. 4 (October 2019): 669–76.

Full Text

Lane, Whitney O., Christel Rushing, Lily R. Mundy, Ronnie Shammas, Scott T. Hollenbeck, Laura J. Fish, and Rachel A. Greenup. “Cost of Reconstruction: A Qualitative Study of Women after Breast Cancer.” In Journal of the American College of Surgeons, 229:S147–S147. ELSEVIER SCIENCE INC, 2019.


Champion, Cosette D., Yi Ren, Samantha M. Thomas, Oluwadamilola M. Fayanju, Laura H. Rosenberger, Rachel A. Greenup, Carolyn S. Menendez, E Shelley Hwang, and Jennifer K. Plichta. “DCIS with Microinvasion: Is It In Situ or Invasive Disease?.” In Ann Surg Oncol, 26:3124–32, 2019.

Full Text

Rosenberger, Laura H., Samantha M. Thomas, Jennifer K. Plichta, Oluwadamilola M. Fayanju, Terry Hyslop, Rachel A. Greenup, and E Shelley Hwang. “Decreasing rates of axillary lymph node dissections over time: Implications for surgical resident exposure and operative skills development..” In Am J Surg, 218:786–91, 2019.

Full Text

Thornton, M. J., H. V. Williamson, K. E. Westbrook, R. A. Greenup, J. K. Plichta, L. H. Rosenberger, A. M. Gupta, T. Hyslop, E. S. Hwang, and O. M. Fayanju. “Neoadjuvant Endocrine Therapy Versus Neoadjuvant Chemotherapy in Node-Positive Invasive Lobular Carcinoma..” In Ann Surg Oncol, 26:3166–77, 2019.

Full Text

Greenup, Rachel A., Christel N. Rushing, Laura J. Fish, Whitney O. Lane, Jeffrey M. Peppercorn, Emily Bellavance, Lisa Tolnitch, et al. “Perspectives on the Costs of Cancer Care: A Survey of the American Society of Breast Surgeons..” In Ann Surg Oncol, 26:3141–51, 2019.

Full Text

Shammas, Ronnie L., Yi Ren, Samantha M. Thomas, Scott T. Hollenbeck, Rachel A. Greenup, and Rachel C. Blitzblau. “Immediate Breast Reconstruction Allows for the Timely Initiation of Postmastectomy Radiation Therapy..” Plast Reconstr Surg 144, no. 3 (September 2019): 347e-357e.

Full Text