{
  "id": 3189,
  "label": "ampulla of vater cancer",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0000919",
  "properties": {
    "xrefs": [
      "DOID:10020",
      "GARD:0022845",
      "ICD10CM:C24.1",
      "ICD9:156.2",
      "MEDGEN:57785",
      "NCIT:C3536",
      "SCTID:363417006",
      "UMLS:C0153454"
    ],
    "synonyms": [
      "cancer of hepatopancreatic ampulla",
      "hepatopancreatic ampulla cancer",
      "malignant ampulla of Vater neoplasm",
      "malignant ampulla of Vater tumor",
      "malignant ampulla of Vater tumour",
      "malignant hepatopancreatic ampulla neoplasm",
      "malignant neoplasm of ampulla of Vater",
      "malignant neoplasm of hepatopancreatic ampulla",
      "malignant neoplasm of the ampulla of Vater",
      "malignant tumor of ampulla of Vater",
      "malignant tumor of ampulla of vater",
      "malignant tumor of the ampulla of Vater",
      "malignant tumour of the ampulla of Vater"
    ],
    "categories": [
      {
        "ref": "MONDO:0004335",
        "name": "digestive system disorder"
      },
      {
        "ref": "MONDO:0005151",
        "name": "endocrine system disorder"
      }
    ],
    "definition": "A primary or metastatic malignant neoplasm involving the ampulla of Vater."
  },
  "isLeaf": false,
  "isRoot": false,
  "child_count": 1,
  "parents": [
    {
      "id": 3190,
      "label": "duodenum cancer",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        3225,
        20534
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:10021",
          "GARD:0022846",
          "ICD10CM:C17.0",
          "ICD9:152.0",
          "MEDGEN:56301",
          "MESH:D004379",
          "NCIT:C9328",
          "SCTID:363403002",
          "UMLS:C0153426",
          "icd11.foundation:1527322574"
        ],
        "synonyms": [
          "cancer of duodenum",
          "duodenum cancer",
          "malignant duodenal neoplasm",
          "malignant duodenal tumor",
          "malignant duodenal tumour",
          "malignant duodenum neoplasm",
          "malignant neoplasm of duodenum",
          "malignant neoplasm of the duodenum",
          "malignant tumor of duodenum",
          "malignant tumor of the duodenum",
          "malignant tumour of duodenum",
          "malignant tumour of the duodenum"
        ],
        "categories": [
          {
            "ref": "MONDO:0004335",
            "name": "digestive system disorder"
          }
        ],
        "definition": "A primary or metastatic malignant neoplasm that affects the duodenum. Representative examples include carcinoma, lymphoma, and sarcoma."
      },
      "child_count": 4,
      "reference_id": "MONDO:0000920"
    },
    {
      "id": 3191,
      "label": "ampulla of vater neoplasm",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        8170,
        20534
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:10022",
          "MEDGEN:138029",
          "NCIT:C4443",
          "ONCOTREE:AMPULLA_OF_VATER",
          "SCTID:126858004",
          "UMLS:C0345916"
        ],
        "synonyms": [
          "ampulla of Vater tumor",
          "ampulla of Vater tumour",
          "hepatopancreatic ampulla neoplasm",
          "hepatopancreatic ampulla neoplasm (disease)",
          "hepatopancreatic ampulla tumor",
          "hepatopancreatic ampulla tumour",
          "neoplasm of ampulla of Vater",
          "neoplasm of hepatopancreatic ampulla",
          "neoplasm of the ampulla of Vater",
          "tumor of ampulla of Vater",
          "tumor of hepatopancreatic ampulla",
          "tumor of the ampulla of Vater",
          "tumour of ampulla of Vater",
          "tumour of hepatopancreatic ampulla",
          "tumour of the ampulla of Vater",
          "AMPULLA_OF_VATER"
        ],
        "categories": [
          {
            "ref": "MONDO:0004335",
            "name": "digestive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A benign or malignant neoplasm involving the ampulla of Vater."
      },
      "child_count": 2,
      "reference_id": "MONDO:0000921"
    },
    {
      "id": 20500,
      "label": "malignant tumor of extrahepatic bile duct",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        5049,
        20541
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "GARD:0025312",
          "ICD10CM:C24.0",
          "ICD9:156.1",
          "ICD9:156.8",
          "MEDGEN:56304",
          "NCIT:C7483",
          "SCTID:363416002",
          "UMLS:C0153453"
        ],
        "synonyms": [
          "extrahepatic bile duct cancer",
          "cancer of extrahepatic bile duct",
          "malignant extrahepatic bile duct neoplasm",
          "malignant extrahepatic bile duct tumor",
          "malignant extrahepatic bile duct tumour",
          "malignant neoplasm of extrahepatic bile duct",
          "malignant neoplasm of the extrahepatic bile duct",
          "malignant tumor of the extrahepatic bile duct",
          "malignant tumour of the extrahepatic bile duct"
        ],
        "categories": [
          {
            "ref": "MONDO:0004335",
            "name": "digestive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A cancer that involves the extrahepatic bile duct."
      },
      "child_count": 6,
      "reference_id": "MONDO:0021321"
    }
  ],
  "children": [
    {
      "id": 17870,
      "label": "carcinoma of the ampulla of vater",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        3189,
        5076,
        20511
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:4932",
          "EFO:1000079",
          "GARD:0021237",
          "MEDGEN:120461",
          "MedDRA:10048853",
          "NCIT:C3908",
          "ONCOTREE:AMPCA",
          "Orphanet:300557",
          "SCTID:254609000",
          "UMLS:C0262401",
          "icd11.foundation:267067189"
        ],
        "synonyms": [
          "Ampulloma",
          "ampulla of Vater cancer",
          "ampulla of Vater carcinoma",
          "ampullary cancer",
          "ampullary carcinoma",
          "carcinoma of ampulla of vater",
          "carcinoma of hepatopancreatic ampulla",
          "hepatopancreatic ampulla carcinoma",
          "AMPCA"
        ],
        "categories": [
          {
            "ref": "MONDO:0004335",
            "name": "digestive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A carcinoma arising from the ampulla of Vater. The vast majority of cases are adenocarcinomas. Signs and symptoms include jaundice, abdominal pain, anorexia, nausea, vomiting, and weight loss."
      },
      "child_count": 9,
      "reference_id": "MONDO:0017590"
    }
  ],
  "roots": [
    {
      "id": 3190,
      "label": "duodenum cancer"
    },
    {
      "id": 3191,
      "label": "ampulla of vater neoplasm"
    },
    {
      "id": 20500,
      "label": "malignant tumor of extrahepatic bile duct"
    }
  ]
}