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

Robert B. Montgomery, MD

Clinical Director, Genitourinary Oncology
Fred Hutch
Professor, Medical Oncology Division
University of Washington School of Medicine
Affiliate Member, Clinical Research Division
Fred Hutch
Specialty:
Medical Oncology
“We want to provide the best care, all the time, for every patient. The Urologic Oncology clinics at Fred Hutch are designed to provide a multidisciplinary team approach, while offering treatment tailored to each person, according to their needs and optimizing the quality of life.”
— Dr. Montgomery
Why do you practice oncology?

Bruce Montgomery, MD made the switch from laboratory research to patient care and clinical research because he wanted to work with the prostate cancer team at UW Medicine and Fred Hutch. “It was the opportunity to work with my colleagues in medical oncology, urology and radiation oncology, as well as the rest of the program in Prostate Cancer Research, that first attracted me to doing research in prostate cancer and ultimately to doing clinical trials and treating patients,” says Dr. Montgomery. He says he likes being part of the team: “It’s a great group and a remarkable team experience. We all collaborate. The group is very cohesive; they’ve found a way to really work together.” Dr. Paul Lange, the well-known prostate surgeon and urologist who sees patients at Fred Hutch and is chairman of the Department of Urology at the University of Washington, talks about why he wanted Dr. Montgomery to join the team: “Bruce brings a wealth of experience not only in medical oncology but also in basic cancer research to our table. Until we were able to lure him to UW and Fred Hutch, he was very involved in basic research and in the treatment of GU—and other cancers—at the VA, where he was one of the major players in medical oncology.”

Dr. Montgomery divides his time between seeing patients at the Fred Hutch Prostate Center and conducting research. He is a medical oncologist, an associate professor at UW Medicine and an affiliate member of the Clinical Research Division of Fred Hutch. “Bruce is a very compassionate, conscientious, and skillful physician, a real intellectual when it comes to cancer knowledge and an outstanding researcher who is now devoting a majority of his research time to clinical trials.” Dr. Montgomery and his colleagues are researching new ways of making prostate cancer cells more sensitive to chemotherapy and hormonal therapy. Dr. Montgomery generally sees men with prostate, bladder or testicular cancer, which may be treated with chemotherapy or other options such as hormone therapy. Until recently, men with early stage prostate cancer were treated only with surgery or radiation, but Dr. Montgomery says that this is starting to change. “Oncologists are beginning to use chemotherapy and vaccines to treat men with earlier-state prostate cancer if their disease has certain high-risk features, such as a very high PSA or high Gleason scores. For these men, the chance of a recurrence is high, perhaps 50 percent or higher.” These new treatments for high-risk prostate cancer are being evaluated in a number of clinical trials, and Dr. Montgomery often finds himself discussing the pros and cons of enrolling in clinical research with his patients. He acknowledges that enrolling in a clinical trial can be a scary proposition, but says that he will often ask a patient to join a study both because he is hoping to help that patient and because he is looking to the future, hoping to improve the treatments available for prostate cancer. “We are going in with the hope that the trial will have benefit for you and also for the next man down the road who has to deal with the disease,” he says. “I tell my patients, we wouldn’t have the standard of care we have now without other men who joined in this collaboration between patients and researchers.”

Chemotherapy Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. It may be given alone or with other treatments. Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy may be given by mouth, injection, infusion or on the skin, depending on the type and stage of the cancer being treated. It may be given alone or with other treatments, such as surgery, radiation therapy or biologic therapy. Clinical trial A type of research study that tests how well new medical approaches work in people. These studies test new methods of screening, prevention, diagnosis or treatment of a disease. Hormone therapy Hormones can cause some cancers to grow. To slow or stop growth, synthetic hormones or other drugs can be used to block the body’s natural hormones, or surgery is used to remove a hormone-producing gland. Treatment that adds, blocks or removes hormones. For certain conditions (such as diabetes or menopause), hormones are given to adjust low hormone levels. Hormones can also cause certain cancers (such as prostate and breast cancer) to grow. To slow or stop the growth of cancer, synthetic hormones or other drugs can be used to block the body’s natural hormones, or surgery is used to remove the gland that makes a certain hormone. Also called endocrine therapy, hormonal therapy and hormone treatment. Hormone therapy Hormones can cause some cancers to grow. To slow or stop growth, synthetic hormones or other drugs can be used to block the body’s natural hormones, or surgery is used to remove a hormone-producing gland. Treatment that adds, blocks or removes hormones. For certain conditions (such as diabetes or menopause), hormones are given to adjust low hormone levels. Hormones can also cause certain cancers (such as prostate and breast cancer) to grow. To slow or stop the growth of cancer, synthetic hormones or other drugs can be used to block the body’s natural hormones, or surgery is used to remove the gland that makes a certain hormone. Also called endocrine therapy, hormonal therapy and hormone treatment. Medical oncologist A physician who has special training in diagnosing and treating cancer in adults using chemotherapy, hormonal therapy, biological therapy and targeted therapy. A physician who has special training in diagnosing and treating cancer in adults using chemotherapy, hormonal therapy, biological therapy and targeted therapy. A medical oncologist is often the main health care provider for someone who has cancer. A medical oncologist also gives supportive care and may coordinate treatment given by other specialists. Recurrence Cancer that has come back, usually after a period during which it could not be detected. It may come back to the same place as the original (primary) tumor or someplace else. Also called recurrent cancer. 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. Standard care A treatment or other intervention currently being used and considered to be of proven effectiveness based on past studies. Prostate-specific antigen A protein made by the prostate gland and found in the blood. Prostate-specific antigen blood levels may be higher than normal in men who have certain prostate diseases or conditions.

A protein made by the prostate gland and found in the blood. Prostate-specific antigen blood levels may be higher than normal in men who have prostate cancer, benign prostatic hyperplasia (BPH), or infection or inflammation of the prostate gland.

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Provider background

Specialty: Medical Oncology

Area of clinical practice

Genitourinary cancers

Diseases treated

Education, experience and certifications
Medical Degree
Duke University School of Medicine
Residency
Brigham and Women's Hospital
Fellowship
University of Washington - Hematology-Oncology
Board Certification
Medical Oncology, 1993, 2015, American Board of Internal Medicine
Languages
English
Awards
Seattle magazine's 2021 Top Doctors award

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

Seattle Met's 2020 Top Doctors award

Dr. Montgomery has been recognized as a Top Doctor in Seattle Met's annual survey 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.

Study ID:
NCT04136353
Darolutamide Augments Standard Therapy for Localised Very High-Risk Cancer of the Prostate (DASL-HiCaP)
Complete title
DASL-HiCaP: Darolutamide Augments Standard Therapy for Localised Very High-Risk Cancer of the Prostate (ANZUP1801). A randomised phase 3 double-blind, placebo-controlled trial of adding darolutamide to androgen deprivation therapy and definitive or salvage radiation in very high risk, clinically localised prostate cancer.

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.

Concordance of DNA Repair Gene Mutations in Paired Primary Prostate Cancer Samples and Metastatic Tissue or Cell-Free DNA

SCCA’s Dr. Robert B. Montgomery was featured in a webinar discussion on UroToday where he discussed the recent study, “Concordance of DNA Repair Gene Mutations in Paired Primary Prostate Cancer Samples and Metastatic Tissue or Cell-Free DNA.” 

Top Doctors 2021: Medical Oncology

SCCA’s Ajay Gopal, MD, and William P. Harris, MD, and Robert Bruce Montgomery, MD were named to Seattle Magazine’s list of Top Doctors in Seattle for 2021, recognizing their excellence in medical oncology.

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.
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