| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Metastatic malignant neoplasm to intrathoracic lymph nodes | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Metastatic malignant neoplasm to pectoral axillary lymph nodes | true | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Malignant neoplasm of primary, secondary, or uncertain origin | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Pathological process | Secondary malignant neoplastic process | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Finding site | Structure of paramammary lymph node | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Finding site | Structure of lymph node of thorax | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Neoplasm of paramammary lymph nodes | true | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Malignant neoplasm of thorax | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Metastatic lymphangitic carcinoma | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Metastatic malignant neoplasm to trunk | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to paramammary lymph nodes | Is a | Metastatic malignant neoplasm to axilla | false | Inferred relationship | Existential restriction modifier |  |  |