A man (Wan Wakae) with massive pendent tumours on the left side of his face. Gouache, 18--, after Lam Qua, ca. 1838.

From Dr. Parker's report, case no. 5119, dated 1838: "The patient expressed a wish to have the large mass removed, but was impatient if others were touched. Considering the age of the man it seemed inexpedient to remove broad portions of the head, but it was easy to excind the unsightly jewel that hung dangling upon his breast, impeding his labour. It was more like cutting green ox hide than human flesh ... On the tenth day the ligatures came away and soon after the patient disappeared." Dr Parker recorded that the tumour was "lighter than a sarcomatous tumour of the same magnitude, possibly in consequence of its cannular structure." (Peter Parker's report, case no. 5119, dated 1838)