This is a FABULOUS LARGE MUSEUM QUALITY CARVED CAMEO OF A LADY WITH JEWELS.The setting is 14 kt gold not marked but tested.IT is enameled with slight loss of enamel here and there.The size is 2 by 2 5/8.Has had a newer safety pin put on the back.She has her beads and jewel box."Saint Germain gave Genèvieve a brass medal engraved with a cross. He instructed her to always wear it around her neck, in remembrance of her consecration to God and devotion to Christ. Further, he told her to be content with only the medal, and to wear it instead of more showy ornaments such as gold and silver bracelets, and necklaces. She kept the medal all her life, never giving it up even when she badly needed money From around 1880.