Gynecologic Oncology

A Message From Our Division Director

Gynecologic Oncology is a subspecialty within the Department of Obstetrics and Gynecology established and dedicated solely to caring for the unique set of cancers that occur only in women. It was decreed in 1969 by the American Board of Obstetrics and Gynecology to begin to develop this specialized educational pathway to train physicians with the unique set of tools required to care for these patients and their malignancies. In 1973, this field of study was approved by the American Board of Medical Specialties.

The Division of Gynecologic Oncology at Greenville Health System is multidisciplinary when it comes to its role within the matrix of women's healthcare. The division has roles in the Department of Obstetrics and Gynecology as well as the Cancer Institute and the research arm of the institution including ITOR (Institute for Translational Oncology Research).

What are the unique aspects of this division? The members of this division are trained in surgical and post-surgical management of cancers--which shares (and this is a unique part of this subspecialty) part of the surgical skill-set seen in general surgery, urology, and even plastic surgery. Beyond this, our group reflects the national picture by prescribing and overseeing the management of chemotherapy whether that is done orally, intravenously, or intraperitoneally (administered directly into the abdomen). All of our physicians are involved constantly with members of the radiation oncology group in treatment planning. Finally this division is dedicated and deeply embedded in the national research group called the Gynecologic Oncology Group. This national clinical research consortium is responsible for determining, designing, and overseeing the major priorities of gynecologic cancer research nationally in this population of women.

Our team consists of Dr. Jeff Elder, who has recently completed his oncologic studies at the University of Kentucky, where he matriculated with seven years of post-doctoral training. Our next partner Dr. Chip Wiper, not only works diligently in our division, but is the Chairman of the entire Department of Obstetrics and Gynecology. Kari Savage, is our Certified Registered Nurse Practitioner who not only sees patients in the office, but represents our efforts by coordinating and facilitating the rehabilitation of patients CIOS (Center for Integrative Oncology and Survivorship). The final practitioner within our group is Dr. Larry Puls, Division Director and Coordinator for the research arm of our group.

A final note must be made that our team is so much more comprehensive that just the four listed individuals. The ability to care for these women and their unique factors related to these malignancies, presents complicated scenarios that require an extensive and dedicated, yet exceedingly compassionate team. That team consists of three full-time office nurses, a full time chemotherapy nurse, support personal in numerous clinical and research offices, and a comprehensive in-patient work group that meets daily. This combined set of individuals would be too numerous to list; but it is through this multidisciplinary and collegial collection of professionals that we believe we deliver state-of-the-art care, coupled with compassion, assuring that every effort is made to make the healthcare effective, individualized, innovative, up-to-date, and caring.

Larry E. Puls, M.D.
Division Director, Gynecologic Oncology
Greenville Health System   

Our primary focus is the diagnosis and treatment management of reproductive cancers which include malignancies of the ovaries, uterus, cervix, fallopian tubes, vagina and vulva. Our physicians are experts in gynecologic oncology surgeries, including minimally invasive robotic surgery, and in the administration and management of chemotherapy for gynecologic cancers.


Jeffrey Elder, MD
Dr. Elder completed his undergraduate studies at the University of Tennessee, where he was a swimmer. He then went on to receive his medical degree from Mercer University School of Medicine in Georgia. Dr. Elder completed his residency and fellowship training at the University of Kentucky. His special interests include ovarian cancer treatment and clinical trial research.

Larry E. Puls MD
Dr. Larry Puls is a Gynecologic Oncologist. He received his medical degree  from Southwestern Medical School in Dallas, Texas. He completed his residency at Texas Tech University Health Sciences Center and was a fellow at the University of Kentucky Medical Center. Dr. Puls is board certified in OB/GYN and gynecologic oncology.

Donald W. Wiper, III MD

Dr. Wiper received his medical degree from Case Western Reserve University Medical School in Cleveland, Ohio. He went on to complete his residency at the University Hospital of Cleveland in Cleveland, Ohio. He then completed a fellowship in gynecologic oncology at the Cleveland Clinic Foundation in Cleveland, Ohio.

Dr. Wiper is Board Certified in Gynecologic Oncology, Obstetrics and Gynecology. He is a member of the Society of Gynecologic Oncologists, the American College of Obstetricians and Gynecologists and the American Society of Clinical Oncology.

Listen to Dr. Wiper's Monday Medical Minute as he discusses symptoms and treatment of cervical cancer:



Greenville Health System Cancer Institute
900 W. Faris Road
Greenville, SC 29605

To make an appointment call (864) 404-2010.