{
  "id": 22941,
  "label": "refractory malignant neoplasm",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0036501",
  "properties": {
    "xrefs": [
      "MEDGEN:146772",
      "NCIT:C120186",
      "UMLS:C0677936"
    ],
    "synonyms": [
      "refractory cancer",
      "refractory malignant neoplasm",
      "resistant cancer",
      "clinical resistance"
    ],
    "definition": "A malignant neoplasm that does not respond to treatment."
  },
  "isLeaf": false,
  "isRoot": false,
  "child_count": 1,
  "parents": [
    {
      "id": 6733,
      "label": "cancer",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        6798
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:0050686",
          "DOID:0050687",
          "DOID:162",
          "ICD9:195.8",
          "ICD9:199",
          "ICD9:199.1",
          "ICDO:8000/3",
          "MEDGEN:14297",
          "NCIT:C9305",
          "ONCOTREE:MT",
          "SCTID:363346000",
          "UMLS:C0006826",
          "birnlex:406"
        ],
        "synonyms": [
          "CA",
          "cancer",
          "cell type cancer",
          "malignancy",
          "malignant growth",
          "malignant neoplasm",
          "malignant neoplasm (disease)",
          "malignant neoplastic disease",
          "malignant tumor",
          "malignant tumour",
          "neoplasm (disease), malignant",
          "neoplasm, malignant",
          "MT"
        ],
        "definition": "A tumor composed of atypical neoplastic, often pleomorphic cells that invade other tissues. Malignant neoplasms often metastasize to distant anatomic sites and may recur after excision. The most common malignant neoplasms are carcinomas (adenocarcinomas or squamous cell carcinomas), Hodgkin and non-Hodgkin lymphomas, leukemias, melanomas, and sarcomas."
      },
      "child_count": 33,
      "reference_id": "MONDO:0004992"
    }
  ],
  "children": [
    {
      "id": 6210,
      "label": "testis refractory cancer",
      "isLeaf": true,
      "isRoot": false,
      "parents": [
        5424,
        22941
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:7928",
          "GARD:0023980",
          "MEDGEN:235122",
          "NCIT:C9077",
          "UMLS:C1377904"
        ],
        "synonyms": [
          "refractory cancer of testis",
          "refractory cancer of the testis",
          "refractory malignant testicular germ cell tumor",
          "refractory malignant testicular germ cell tumour",
          "refractory testicular cancer"
        ],
        "categories": [
          {
            "ref": "MONDO:0005039",
            "name": "reproductive system disorder"
          },
          {
            "ref": "MONDO:0005151",
            "name": "endocrine system disorder"
          }
        ],
        "definition": "Malignant testicular germ cell tumor that is resistant to treatment."
      },
      "child_count": 0,
      "reference_id": "MONDO:0004401"
    }
  ],
  "roots": [
    {
      "id": 6733,
      "label": "cancer"
    }
  ]
}