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Dr. Greg Pahnke

Surgery - Oncology
NEWARK, DE
45 years experience male

Locations

Office

wilmington, DE

Address

suite 1340, 4701 Ogletown - Stanton road, wilmington, DE, US
Directions

My office hours

Wednesday: 0800am - 1700pm
Show more

Insurances accepted

Aetna Life Insurance Company

AmeriHealth

Oxford Health Plans

Highmark Blue Cross Blue Shield

Medicaid

UnitedHealthcare

CIGNA Health Care

Medicare

CHRISTIANA BREAST SURGEONS

NEWARK, DE

CHRISTIANA BREAST SURGEONS

NEWARK, DE

About

Bio

Specializing in breast diseases and cancers. As a surgeon- brings diagnostic microinvasive biopsy techniques with stereotactic and ultrasound directed core biopsies, Sentinel Lymph node procedures to limit full dissections.PBI- partial breast irradiation -SAVI- Mammosite.placement. Skin saving and nipple saving mastectomies. Coordination of care with reconstructive plastic surgeons. Genetic counseling. Second opinions. Compassionate care. Univ. of Pennsylvania Medical School 1977 Univ. of Texas Surg. residency1978-1982 M.D.Anderson Cancer Hospital Surgical Oncology-Breast fellowship 1982-3.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Surgery - Oncology

Surgical Oncology

Doctor Q&A

54 Answers
19 Agrees
The number of answers this doctor has agreed with.
A 29-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Wideexcisionofcancer: All masses/ calcifications on physical exam or on mammogram should be biopsied using minimally invasive techniques -needles -aspiration or core) . ... Read More
A 48-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Your sick but normal: Yellow is the normal color or "clearish " with less bile if your pyloric valve is competent - that is no food in your stomach at the time of vomitin... Read More
A 45-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Yes: Maybe able to strech or just change contour with new varying profile implants but may require tissue expander first if scarred in with capsule. Lat... Read More
A 33-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Yes: Possible contact dermatits from our cleaning solutions- betadine or chloraprep . Or we set off hidradenitis(infection) in the sweat glands - but... Read More
A 36-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Maybe beautiful: Use of your own tissue in creating new breast mounds. You will spectacular in clothes/ bra but the "breast " is numb, no nipple unless tattoo /recon... Read More
A 47-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Until she goes home: Never set a time frame but usually 1 to 2 days depending on reconstructive technique if any yes I am always surprised but they do well. If tram fla... Read More
A 21-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
I need to know that: Long term study with nurses (who often drank and smoked back then ) stated alcohol greater then 2 drinks or glasses of wine hurts or increases your... Read More
A 34-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
By selling products: Most have been trained on the job by a mentor some actually have had themselves a mastectomy or lumpectomy for even better first hand advise the m... Read More
A 38-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
ASK YOUR SURGEON: Too many variables so ask your doctor simple superficial lumpectomy away from the axilla 2 to 4 days.- no heavy lifting no bench presses. Larger,... Read More
A 35-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Yes: We look at each cancer's profile - estrogen / Progesterone /her-2 receptors as well as histology-size, grade , blood vessel invasioneg then the pa... Read More
A 36-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Maintainyour figure: If you mean mast. Bra and external prothesis -it is to maintain your figure after mastectomy they also make partial implants for filling out partial ... Read More
A 40-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
The nipple is intact: Subcu mastectomy leaves the areola and nipple intact but removes 90 to 95ish % of the breast tissue hard to see in upper outer quadrant toward ax... Read More
A 24-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
See your surgeon : Swelling now maybe a sign of lymphedema due to the previous surgery blocking efflux of fluid out of your arm( previous lymph node removal or radiat... Read More
A 39-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Possible: The major side effect i hear as a surgeon is the pt. Complaining of aches -mild pains- cramps in the thigh muscles primarily or second - around the hi... Read More
A 41-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Yes: A screening mammogram may reveal calcifications seen by the radiologist, or the more subtle ones, by the CAD machine - computerized automated detectio... Read More
A 39-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
I need to know that: Five patients asked that today for pain we believe low caffeine intake, vitamin E at 200 iu/ daily (controversial) flaxseed oil and evening primros... Read More
A 43-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Removal of tissue: Lumpectomy is an excisional biopsy - removal of breast tissue-usually implying a breast cancer is involved and need to check margins. The site may be ... Read More
A female asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Depends? Sentinel LN: From mammo. To biopsy core 48 to 72 hours. Final pathology 2 to 3 days if positive and they run the hormone panel er / pr / her -2 oncogene. Defini... Read More
A 28-year-old male asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Excisional biopsy: Lumpectomy is an excisional biopsy usually used when applied to removing a breast tumor or cancer - just an easier word to say than----partial maste... Read More
A member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
More nodes positive: Breast - more than 10 pos axillary ln or pos. Ln at level iii or axillary and inter mammary ln pos. Or supraclavicular ln pos .Melanoma more th... Read More
A 47-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Actually slowly: Doubling time of breast cancers is 100 days, so if you believe cancer starts as one cell ie. Maybe a stem cell transformation and that cell divides to... Read More
A 43-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Hardness,bleeding: At your age this is very common to have enlargement of the glands under one nipple(gynecomastia) -- show it to your doctor. Cancer is hard, may ulc... Read More
A 45-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Less than 2 glasses: Less than 2 glasses a day regarding the alcohol content but you get the benefit of the red wine super anti-oxidant i hope the 2 glass limit does not a... Read More
A 34-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Usually okay: Depending on your age common to have localized pain in your breast usually cyclical with your period and do to cysts, dilated ducts if redness , marke... Read More
A 29-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
See your doctor: Many causes -answer depends on your medication history first since many cross reactions and then physical examine - dvt-venous blood clots or arte... Read More
A 23-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
No: Not after the healing phase approx. 3 months and with subpectoral - under the muscle- placement as I use for my breast cancer patients... Cosmeti... Read More
A 25-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Softer: It depends on the price range but the new external prosthesis are markedly softer than before and form fitting for a total or to fill in the gaps aft... Read More
A 26-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Life long concern: We try to prevent - with sentinel lymph node biopsies to decrease extent of surgery under the arm but it is always a concern i follow people with the... Read More
A 24-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
My youngest 18-rare: Though we can see unusual breast malignancies (sarcomas) in the pediatric / adolescent age groups, the usual epithelial based cancers, that you would ... Read More
A 44-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
By being there: Your are her friend -so being there to support and comfort and to listen to her is great. But also to listen for her when she meets the doctors - ta... Read More
A 27-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
3 to 6 hours: Double simple mastectomy d cup 2 1/2 hours. Add sentinel ln to both sides make it 3. If you add reconstruction with tissue expanders by the plastic ... Read More
A 50-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
HOT HOT Flashes: As an aromatase inhibitor- blocks estrogen synthesis- it shares the same se as Arimidex (anastrozole) , but is generally well tolerated --hot flashes,... Read More
A 23-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
"yes": Most common post -partum but other times infection or inflammation can occur but always this has to be checked by a md for the rare possibility of in... Read More
A 36-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Good but qualified: I am the doer/surgeon and lumpectomies is what i do, but after 5, 000 I am qualified to answer. I use lumpectomy as a synonym for excisional biopsy ... Read More
A 33-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
You should know now: Tender nipples is one early possible sign but your question has been posted for some time now -- so you should know by now.
A 34-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Depends: Always try to use the good unaffected side first ---but if a few sentinel nodes removed it is okay if you have to but not by the automatic machine t... Read More
A 48-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Fairly close to norm: Unless you are a keloid former and the area does not get infected then most incisions placed in the correct cosmetic skin lines will barely show 4 m... Read More
A 29-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
A nodule,marble.BB: May descriptors - just something different that you feel in your own exam of your breasts . Many women already have cobble-stoning, oatmeal -cottage... Read More
A 35-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
You are her rock: Iif the medical decision has already been made to preform a mastectomy - meaning you were there for her to aid in listening and asking questions and... Read More
A 33-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Be there- for her: Be there to listen not to advise unless asked - men fail at that aspect. Go with her to the doctor's appt. Again to listen and/or to ask questions th... Read More
A 21-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
If Rx fails-surgery: We do everything not to operate especially in the post partum period but if long standing drainage-infection- drainage-- abscesses we will make a ... Read More
A 31-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Oxicillin: Depend on allergies: if not peniciilln allergic than: dicloxicylin duricef -keflex if pen. Allergic: bactrim cleocin good if not breast feeding... Read More
A 24-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Bra/Prosthesisexpert: Specially trained person in bra and external partial or full form prosthesis measurement and fitting swim suits and usually a great source of in... Read More
A 23-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
PROBABLY not: Drooping- ptosis- is usually symmetric and in the older population- over 50. If drooping -one sided, mass effect, hardness, redness, nipple discha... Read More
A 31-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
No: They have in common the same symptoms -none --that is what makes this cancer difficult to initially detect, but share the same signs - mass, inverted... Read More
A 27-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
AC / Taxol (paclitaxel) vs TCH: It all depends on the cancer's subtype er./pr her-2 status or in the future microarray analysis -the treatment is individualized on the tumor and pa... Read More
A 25-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
ALLhavetobe reviewed: The safe answer none all meds over the counter and rx have to be reviewed with your surgeon or the preop. Anesthesia team... Certain anticoagulants... Read More
A 36-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Not many be viligant: Retraction of skin or nipple - dimpling, small lump - bb shot and larger, nipple discharge late changes is redness, edema, larger mass, change in ... Read More
A 34-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Yes: Most do not opt for that or need it - that is mastopexy but they will cover it.
A 45-year-old member asked:
Dr. Greg Pahnke
Surgery - Oncology 45 years experience
Hope,badge ofcourage: They see and instantly identify with others wearing the cancer pin telling them that they are not alone in this fight- that there are others that h... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
179
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Pahnke is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pahnke is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer was very helpful!

Education & Training

Medical/Graduate school

University of Pennsylvania School of Medicine, PA
Graduated 1977MD

Medical/Graduate school

University of Pennsylvania
Graduated 1977MD

Residency

University of Texas at Houston Health Science Center

Awards

PHI BETA KAPPA
American Cancer Society Diplomate Award

Affiliations

American Society of Breast Surgeons
American College of Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less