Top Doctor Top Doctor
The Top Doctor award is a peer-nominated award for providers who give exceptional care.

David R. Byrd, MD

Physician
Fred Hutch
Professor, Surgery
University of Washington School of Medicine
Section Chief of Surgical Oncology
UW Medicine
Specialty:
Surgery
“When I enter the consultation room, I am 100 percent focused on you.”
— Dr. Byrd
Why do you practice oncology?

Life throws us all curveballs; it’s not a question of whether you will get them, it’s when. Fueled by a love of anatomy, I learned early on that I wanted to support people whose lives had been knocked off course by cancer. This desire only grew stronger when I traveled to India and Pakistan after my general surgery residency to do volunteer medical work. My experiences as a surgical oncologist have taught me that it’s the quality of our time in this world that counts, and the time I have spent treating patients with cancer — learning about their lives and helping them overcome health obstacles — has been tremendously rewarding.

Oncologist A physician who has special training in diagnosing and treating cancer. Some oncologists specialize in a particular type of cancer treatment, such as treating cancer with radiation. A physician who has special training in diagnosing and treating cancer. Some oncologists specialize in a particular type of cancer treatment. For example, a radiation oncologist specializes in treating cancer with radiation.
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How do you help patients?

Regardless of your diagnosis, I want to make sure you walk out of the clinic feeling better than when you walked in. I am always forthright, but I never take away hope. One of the things I value about Fred Hutch is how patient-centered it is, and my approach mirrors the belief that what you care about and what you need always takes center stage. I see my role as bringing in the evidence — what we know about treatment and prognosis — and mapping that information onto your goals, so we can form a care plan that reflects your unique preferences.

Prognosis A statement about the likely outcome of a disease in a patient. Stage The extent of a cancer in the body. Staging is usually based on the size of the tumor, whether lymph nodes contain cancer and whether the cancer has spread from the original site to other parts of the body.

Provider background

Specialty: Surgery

Area of clinical practice

Breast cancers, skin cancers

Breast cancer

As the director of surgery at Fred Hutch, I have a diverse interest in the management of several different solid tumors. Breast cancer is one of my areas of expertise. I was the first surgeon to bring the sentinel lymph node biopsy to the Pacific Northwest; this technique improved the management of breast cancer, and other cancers, by more accurately determining whether the disease has spread to the lymphatic system, eliminating the need for more invasive surgery. I have also published articles on topics including node-positive breast cancer, tumor detection and complications of breast cancer treatment such as lymphedema.

Melanoma, Merkel cell carcinoma and other skin cancers

I provide comprehensive surgical care for melanoma and other skin cancers through Fred Hutch’s Skin Oncology Clinic. Outside of patient care, I have led the development of staging systems for malignant melanoma, as well as other cancers, and I actively conduct research to improve the standard of care. For example, I co-led a study demonstrating that removing key sentinel lymph nodes from most patients with early-stage melanoma led to the same long-term survival rates as fully removing additional lymph nodes. Sentinel lymph node removal is associated with improved health outcomes and fewer complications.

Biopsy The removal of a sample of tissue or fluid that is examined to see whether cancer is present. This may be done with a large needle or through surgical removal of tissue or fluids. Lymphedema A condition in which extra lymph fluid builds up in tissues and causes swelling. It may occur in an arm or leg if lymph vessels are blocked, damaged or removed by surgery. Lymph system The tissues and organs that produce, store and carry white blood cells that fight infections and other diseases. The tissues and organs that produce, store and carry white blood cells that fight infections and other diseases. This system includes the bone marrow, spleen, thymus, lymph nodes and lymphatic vessels (a network of thin tubes that carry lymph and white blood cells). Lymphatic vessels branch, like blood vessels, into all the tissues of the body. Melanoma Cancer that begins in the melanocytes (cells that make the pigment melanin). It may begin in a mole (skin melanoma), but it can also begin in other pigmented tissues, such as the eye or the intestines. Staging Performing exams and tests to learn the extent of the cancer within the body, especially whether the disease has spread from where it first formed to other parts of the body. Performing exams and tests to learn the extent of the cancer within the body, especially whether the disease has spread from where it first formed to other parts of the body. It is important to know the stage of the disease in order to plan the best treatment. Standard care A treatment or other intervention currently being used and considered to be of proven effectiveness based on past studies.

Diseases treated

Education, experience and certifications
Undergraduate Degree
Tulane University
Medical Degree
Tulane University School of Medicine
Residency
MD Anderson Cancer Center, General Surgery
Fellowship
University of Washington, General Surgery
Languages
English
Awards
Seattle Met's 2022 Top Doctors award

Dr. Byrd has received this peer-nominated award for his exceptional patient care multiple years in a row.

Seattle magazine's 2021 Top Doctors award

Dr. Byrd has been recognized as a Top Doctor in this peer-nominated award multiple years in a row.

Research

Clinical trials

We make promising new treatments available to you through studies called clinical trials led by Fred Hutch doctors. Many of these trials at Fred Hutch have led to FDA-approved treatments and have improved standards of care globally. Together, you and your doctor can decide if a study is right for you.

Publications

Many of our Fred Hutch doctors conduct ongoing research to improve standards of patient care. Their work is evaluated by other doctors and selected for publication to the United States National Library of Medicine, the largest medical library in the world. See scientific papers this Fred Hutch provider has written.

Press

Our providers are often asked to give their medical expertise for press and news publications. Read articles by or about this Fred Hutch provider.

Top Doctors 2021: Surgery

SCCA’s Sara H. Javid, MD, Mika N. Sinanan, MD, PhD, Kristine E. Calhoun, MD, Brant K. Oelschlager, MD, FACS, and David R. Byrd, MD, were named to Seattle Magazine’s list of Top Doctors in Seattle for 2021, recognizing their excellence in surgery.

Your care team

At Fred Hutch, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a patient care coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.
Lauren D. Hamman, DNP, ARNP
Lauren D. Hamman, DNP, ARNP
Advanced Registered Nurse Practitioner
Advanced Practice Provider
Registered nurse (RN)
Registered nurse (RN)
Your nurse manages your care alongside your doctor and assists with care procedures and treatments.
Patient care coordinator
Patient care coordinator
Your patient care coordinator works closely with you and your doctor and serves as your scheduler.

Insurance

Fred Hutch accepts most national private health insurance plans as well as Medicare. We also accept Medicaid for people from Washington, Alaska, Montana and Idaho. We are working to ensure that everyone, no matter what their financial situation, has access to the care they need.

For providers