{
  "id": 21607,
  "label": "metastatic neoplasm",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0024883",
  "properties": {
    "xrefs": [
      "EFO:0009709",
      "ICDO:8000/6",
      "MEDGEN:422476",
      "NCIT:C3261",
      "UMLS:C2939420"
    ],
    "synonyms": [
      "metastatic disease",
      "metastatic neoplasm",
      "metastatic tumor",
      "metastatic tumour"
    ],
    "definition": "A tumor that has spread from its original (primary) site of growth to another site, close to or distant from the primary site. Metastasis is characteristic of advanced malignancies, but in rare instances can be seen in neoplasms lacking malignant morphology."
  },
  "isLeaf": false,
  "isRoot": false,
  "child_count": 1,
  "parents": [
    {
      "id": 21606,
      "label": "secondary neoplasm",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        21214
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "MEDGEN:1851572",
          "NCIT:C36255",
          "UMLS:C5848363"
        ],
        "synonyms": [
          "secondary neoplasm",
          "secondary tumor",
          "secondary tumour"
        ],
        "definition": "A neoplasm that arises from a pre-existing lower grade lesion, or as a result of a primary lesion that has spread to secondary sites, or due to a complication of a cancer treatment."
      },
      "child_count": 5,
      "reference_id": "MONDO:0024882"
    }
  ],
  "children": [
    {
      "id": 21604,
      "label": "metastatic malignant neoplasm",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        21605,
        21607
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "MEDGEN:422475",
          "NCIT:C36263",
          "UMLS:C2939419",
          "icd11.foundation:1399468320"
        ],
        "synonyms": [
          "malignant metastatic neoplasm",
          "metastatic cancer",
          "metastatic malignant neoplasm",
          "metastatic neoplasm, malignant"
        ],
        "definition": "A malignant tumor that has spread from its original (primary) site of growth to another site close to or distant from the primary site."
      },
      "child_count": 14,
      "reference_id": "MONDO:0024880"
    }
  ],
  "roots": [
    {
      "id": 21606,
      "label": "secondary neoplasm"
    }
  ]
}