{
  "id": 7984,
  "label": "vaginal adenoid cystic carcinoma",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0006487",
  "properties": {
    "xrefs": [
      "GARD:0024431",
      "MEDGEN:274376",
      "NCIT:C40261",
      "UMLS:C1519912"
    ],
    "synonyms": [
      "vaginal adenoid cystic cancer",
      "vaginal adenoid cystic carcinoma"
    ],
    "categories": [
      {
        "ref": "MONDO:0005039",
        "name": "reproductive system disorder"
      }
    ],
    "definition": "An adenoid cystic carcinoma that arises from the vagina. Myoepithelial cells are usually not present."
  },
  "isLeaf": true,
  "isRoot": false,
  "child_count": 0,
  "parents": [
    {
      "id": 6713,
      "label": "adenoid cystic carcinoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        6712
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:0080202",
          "EFO:0000231",
          "GARD:0005743",
          "ICDO:8200/3",
          "MEDGEN:41382",
          "MESH:D003528",
          "NCIT:C2970",
          "ONCOTREE:ACYC",
          "UMLS:C0010606",
          "icd11.foundation:2127202862"
        ],
        "synonyms": [
          "adenocystic carcinoma",
          "adenoid cystic cancer",
          "adenoid cystic carcinoma",
          "cylindroid adenocarcinoma",
          "cribriform carcinoma",
          "cylindroma"
        ],
        "definition": "A malignant tumor arising from the epithelial cells. Microscopically, the neoplastic epithelial cells form cylindrical spatial configurations (cribriform or classic type of adenoid cystic carcinoma), cordlike structures (tubular type of adenoid cystic carcinoma), or solid structures (basaloid variant of adenoid cystic carcinoma). Adenoid cystic carcinomas mostly occur in the salivary glands. Other primary sites of involvement include the lacrimal gland, the larynx, and the lungs. Adenoid cystic carcinomas spread along nerve sheaths, resulting in severe pain, and they tend to recur. Lymph node metastases are unusual; hematogenous tumor spread is characteristic."
      },
      "child_count": 17,
      "reference_id": "MONDO:0004971"
    },
    {
      "id": 20067,
      "label": "vaginal adenocarcinoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        3892,
        6712,
        16597
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "GARD:0025199",
          "MEDGEN:124643",
          "NCIT:C7981",
          "ONCOTREE:VA",
          "UMLS:C0279668"
        ],
        "synonyms": [
          "adenocarcinoma of the vagina",
          "adenocarcinoma of vagina",
          "vagina adenocarcinoma",
          "vaginal adenocarcinoma"
        ],
        "categories": [
          {
            "ref": "MONDO:0005039",
            "name": "reproductive system disorder"
          }
        ],
        "definition": "An adenocarcinoma arising from the vagina. Morphologic variants include the clear cell, endometrioid, mesonephric, and mucinous adenocarcinoma."
      },
      "child_count": 3,
      "reference_id": "MONDO:0020653"
    }
  ],
  "children": [],
  "roots": [
    {
      "id": 6713,
      "label": "adenoid cystic carcinoma"
    },
    {
      "id": 20067,
      "label": "vaginal adenocarcinoma"
    }
  ]
}