{
  "id": 5456,
  "label": "ampulla of vater adenosquamous carcinoma",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0003553",
  "properties": {
    "xrefs": [
      "DOID:5628",
      "GARD:0023560",
      "MEDGEN:231056",
      "NCIT:C27418",
      "UMLS:C1332245"
    ],
    "synonyms": [
      "ampulla of Vater adenosquamous carcinoma",
      "hepatopancreatic ampulla adenosquamous carcinoma"
    ],
    "categories": [
      {
        "ref": "MONDO:0004335",
        "name": "digestive system disorder"
      },
      {
        "ref": "MONDO:0005151",
        "name": "endocrine system disorder"
      }
    ],
    "definition": "A carcinoma with glandular and squamous differentiation arising from the ampulla of Vater. Signs and symptoms include jaundice, abdominal pain, anorexia, nausea, vomiting, and weight loss."
  },
  "isLeaf": true,
  "isRoot": false,
  "child_count": 0,
  "parents": [
    {
      "id": 5407,
      "label": "ampulla of vater squamous cell carcinoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        7758,
        17870,
        18541
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:5527",
          "GARD:0023526",
          "MEDGEN:272304",
          "NCIT:C27417",
          "UMLS:C1332251"
        ],
        "synonyms": [
          "ampulla of Vater squamous cell carcinoma",
          "hepatopancreatic ampulla squamous cell carcinoma"
        ],
        "categories": [
          {
            "ref": "MONDO:0004335",
            "name": "digestive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A carcinoma with squamous differentiation arising from the ampulla of Vater. Signs and symptoms include jaundice, abdominal pain, anorexia, nausea, vomiting, and weight loss."
      },
      "child_count": 3,
      "reference_id": "MONDO:0003490"
    },
    {
      "id": 7757,
      "label": "extrahepatic bile duct adenosquamous carcinoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        5453,
        7758
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "EFO:1000247",
          "GARD:0024327",
          "NCIT:C5778"
        ],
        "synonyms": [
          "extrahepatic bile duct adenosquamous carcinoma",
          "adenosquamous bile duct carcinoma",
          "adenosquamous carcinoma of bile duct",
          "adenosquamous carcinoma of the bile duct",
          "bile duct adenosquamous carcinoma"
        ],
        "categories": [
          {
            "ref": "MONDO:0004335",
            "name": "digestive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "A carcinoma that arises from the extrahepatic bile ducts. It is characterized by the presence of glandular and squamous malignant epithelial components."
      },
      "child_count": 2,
      "reference_id": "MONDO:0006202"
    }
  ],
  "children": [],
  "roots": [
    {
      "id": 5407,
      "label": "ampulla of vater squamous cell carcinoma"
    },
    {
      "id": 7757,
      "label": "extrahepatic bile duct adenosquamous carcinoma"
    }
  ]
}