{
  "id": 23671,
  "label": "vulvar neuroendocrine carcinoma",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0056816",
  "properties": {
    "xrefs": [
      "GARD:0025992",
      "MEDGEN:925534",
      "NCIT:C128243",
      "UMLS:C4288002"
    ],
    "synonyms": [
      "mammalian vulva neuroendocrine carcinoma",
      "neuroendocrine carcinoma of mammalian vulva",
      "vulvar Neuroendocrine cancer",
      "vulvar Neuroendocrine carcinoma",
      "vulvar high grade Neuroendocrine carcinoma",
      "vulvar high grade Neuroendocrine neoplasm"
    ],
    "categories": [
      {
        "ref": "MONDO:0005039",
        "name": "reproductive system disorder"
      },
      {
        "ref": "MONDO:0005151",
        "name": "endocrine system disorder"
      }
    ],
    "definition": "A neuroendocrine carcinoma that arises from the vulva. This category includes small cell and large cell neuroendocrine carcinoma. Most small cell neuroendocrine carcinomas of the vulva are Merkel cell carcinomas."
  },
  "isLeaf": false,
  "isRoot": false,
  "child_count": 1,
  "parents": [
    {
      "id": 4255,
      "label": "neuroendocrine carcinoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        6734,
        19314,
        20310
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:1800",
          "GARD:0023067",
          "ICDO:8246/3",
          "MEDGEN:104919",
          "MESH:D018278",
          "NCIT:C3773",
          "SCTID:253000007",
          "UMLS:C0206695"
        ],
        "synonyms": [
          "NEC",
          "neuroendocrine cancer",
          "neuroendocrine carcinoma"
        ],
        "categories": [
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A malignant neuroendocrine neoplasm composed of cells containing secretory granules that stain positive for NSE and chromogranin. The neoplastic cells are often round and form clusters or trabecular sheets. Representative examples are small cell carcinoma, large cell neuroendocrine carcinoma, and Merkel cell carcinoma."
      },
      "child_count": 36,
      "reference_id": "MONDO:0002120"
    },
    {
      "id": 6931,
      "label": "vulvar carcinoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        3735,
        6734
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:1294",
          "EFO:0002921",
          "GARD:0009349",
          "MEDGEN:146159",
          "NCIT:C4866",
          "Orphanet:494418",
          "SCTID:447882007",
          "UMLS:C0677055"
        ],
        "synonyms": [
          "cancer of the vulva",
          "cancer of vulva",
          "vulva cancer",
          "vulvar cancer",
          "carcinoma of mammalian vulva",
          "carcinoma of the vulva",
          "carcinoma of vulva",
          "mammalian vulva carcinoma",
          "vulva carcinoma",
          "vulvar carcinoma"
        ],
        "categories": [
          {
            "ref": "MONDO:0005039",
            "name": "reproductive system disorder"
          }
        ],
        "definition": "A carcinoma that arises from epithelial cells of the mammalian vulva"
      },
      "child_count": 18,
      "reference_id": "MONDO:0005215"
    }
  ],
  "children": [
    {
      "id": 5951,
      "label": "Bartholin gland small cell carcinoma",
      "isLeaf": true,
      "isRoot": false,
      "parents": [
        2894,
        4848,
        23671
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:7140",
          "GARD:0023834",
          "MEDGEN:267705",
          "NCIT:C40298",
          "UMLS:C1511051"
        ],
        "synonyms": [
          "Bartholin gland small cell carcinoma",
          "Bartholin's gland small cell carcinoma",
          "major vestibular gland small cell carcinoma",
          "small cell carcinoma of major vestibular gland"
        ],
        "categories": [
          {
            "ref": "MONDO:0002051",
            "name": "integumentary system disorder"
          },
          {
            "ref": "MONDO:0005039",
            "name": "reproductive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A rare neuroendocrine carcinoma that arises from the Bartholin gland and is characterized by the presence of malignant small cells and high mitotic activity."
      },
      "child_count": 0,
      "reference_id": "MONDO:0004120"
    }
  ],
  "roots": [
    {
      "id": 4255,
      "label": "neuroendocrine carcinoma"
    },
    {
      "id": 6931,
      "label": "vulvar carcinoma"
    }
  ]
}