| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Metastatic malignant neoplasm to carpal bone | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Finding site | Structure of pisiform bone of wrist region | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Pathological process | Neoplastic process | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Malignant neoplasm of primary, secondary, or uncertain origin | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Finding site | Hand structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Pathological process | Secondary malignant neoplastic process | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Finding site | Upper limb structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Pathological process | Malignant neoplastic process | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Finding site | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Neoplasm of pisiform bone of hand | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Malignant neoplasm of carpal bone - pisiform | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Metastatic malignant neoplasm to bone of upper limb | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Metastatic malignant neoplasm to hand | false | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Associated morphology | Neoplasm, metastatic | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Finding site | Bone structure of upper limb | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Malignant neoplasm of carpal bone - pisiform | true | Inferred relationship | Existential restriction modifier |  |  | 
| Metastatic malignant neoplasm to pisiform bone of hand | Is a | Metastatic malignant neoplasm to carpal bone | true | Inferred relationship | Existential restriction modifier |  |  |