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