| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Malignant tumor involving vulva by direct extension from endometrium | Is a | Metastatic malignant neoplasm to vulva | false | Inferred relationship | Existential restriction modifier |  |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Pathological process | Secondary malignant neoplastic process | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Malignant neoplasm of primary, secondary, or uncertain origin | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Finding site | Vulval structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Finding site | Female genital organ structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Is a | Malignant tumor of vulva | true | Inferred relationship | Existential restriction modifier |  |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Finding site | Vulval structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Malignant neoplasm of primary, secondary, or uncertain origin | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Malignant neoplasm of primary, secondary, or uncertain origin | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Finding site | Vulval structure | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Finding site | Female genital tract structure | false | Inferred relationship | Existential restriction modifier |  |  | 
| Malignant tumor involving vulva by direct extension from endometrium | Associated morphology | Malignant neoplasm | true | Inferred relationship | Existential restriction modifier | 1 |  |