| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Primary malignant neoplasm of vulva | Is a | Malignant tumor of vulva | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Is a | Primary malignant neoplasm of female genital organ | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Pathological process | Malignant neoplastic process | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm of primary, secondary, or uncertain origin | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Finding site | Vulval structure | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Finding site | Female genital organ structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Is a | Primary malignant neoplasm of pelvis | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Is a | Disorder of female genital organs | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm, primary | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary malignant neoplasm of vulva | Is a | Primary vulval cancer | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Is a | Malignant tumor of vulva | true | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Is a | Vulva finding | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Is a | Mass of vulva | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Finding site | Female genital tract structure | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Is a | Primary malignant neoplasm of trunk | true | Inferred relationship | Existential restriction modifier |  |  | 
| Primary malignant neoplasm of vulva | Associated morphology | Malignant neoplasm | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary malignant neoplasm of vulva | Pathological process | Malignant proliferation of primary neoplasm | true | Inferred relationship | Existential restriction modifier | 1 |  |