Ischiorectal Sarcoma Treatment in Chandigarh, Punjab, India — Dr. Rajeev Kapoor
What Is Ischiorectal Sarcoma?
Ischiorectal sarcoma refers to a rare type of tumor that develops in the ischiorectal fossa, a deep space located next to the rectum. These tumors may arise from soft tissues such as muscle, fat, or connective tissue, and though uncommon, they require highly specialized surgical expertise because of their complex location.
Early diagnosis and timely treatment are crucial to prevent complications and ensure complete removal of the tumor.
Causes & Symptoms
Causes
While the exact causes are not always clear, possible contributing factors include:
- Abnormal growth of soft tissue cells in the pelvic region
- Genetic predispositions linked to soft tissue sarcomas
- Rarely, association with prior radiation or chronic inflammation
Symptoms
Patients may notice:
- A painless lump or swelling in the buttock or perineal area
- Pressure or discomfort while sitting
- Difficulty or changes in bowel movements if the tumor presses against the rectum
- Pain or discharge if the tumor becomes infected or ulcerated
Because these tumors are rare, symptoms can sometimes be mistaken for more common anal or rectal conditions.

Treatment Options
Multidisciplinary Approach
Treatment of ischiorectal sarcoma requires a team approach, often involving colorectal surgery, oncology, and reconstructive surgery.
Surgical Treatment
- Wide local excision is the standard method, aiming to remove the tumor completely with safe margins.
- Depending on tumor size and location, different surgical approaches may be used (perineal, abdominal, or combined).
- Minimally invasive techniques such as laparoscopic assistance may be possible in selected cases.
- If a large area is removed, reconstructive surgery may be required to restore anatomy and function.
Adjuvant Therapies
In some cases, radiotherapy or chemotherapy may be advised to reduce recurrence risk and ensure better long-term control.
Recovery & Follow-Up Care
- Hospital stay usually lasts several days, depending on the surgery performed.
- Recovery may take a few weeks, with gradual return to normal activities.
- Post-operative care includes wound management, pain relief, and dietary advice.
- Long-term follow-up with imaging and physical exams ensures early detection of any recurrence.

Begin Your Treatment Journey
If you or a loved one has been diagnosed with an ischiorectal sarcoma or tumor, timely and expert surgical care is crucial. Consult Dr. Rajeev Kapoor, a leading colorectal surgeon in Chandigarh, Punjab, India, for advanced, safe, and compassionate treatment.
Why Choose Dr. Rajeev Kapoor?
- Extensive experience in complex colorectal surgeries, including rare pelvic tumors
- Specialized surgical skills to ensure safe removal while preserving surrounding structures
- Modern facilities in Chandigarh equipped for advanced imaging and surgical care
- Multidisciplinary coordination, ensuring comprehensive treatment tailored to each patient
- Patient-focused care, with emphasis on both oncological safety and quality of life

Frequently Asked Questions (FAQs)
How rare are ischiorectal sarcomas?
They are very rare, which is why it’s important to seek care from a highly experienced surgeon.
Will surgery affect bowel control?
With careful surgical planning, the aim is always to remove the tumor while preserving continence and function.
Is minimally invasive surgery possible?
Yes, in selected cases, laparoscopic assistance may reduce recovery time and scarring.
Will I need chemotherapy or radiotherapy?
This depends on the tumor type and pathology results after surgery.
What is the chance of recurrence?
When the tumor is removed completely with safe margins, recurrence risk is significantly reduced, but regular follow-up is essential.