Issei Sagawa aka Pang is a Japanese cannibal who in 1981 murdered and cannibalized Renee Hartevelt who was attending school in Paris France.
 
8 1/4" x 11 3/4" blood red hand print hand signed, Issei Sagawa. 
Includes an original 3 1/2" x 5" photo from 2008 of Sagawa holding this hand print.