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Surname Tsam (Tsam , Цам , צם ) , in the entire world, is quite a rare cognomen. The last name Tsam is characteristic of Taiwan, where it is quite a rare surname, Cameroon, and Hong Kong, where it is a rare surname. Measured by absolute frequency, it is commonest in Taiwan, Cameroon, and Myanmar. Much less frequently, Tsam is the forename as well as the last name.