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Cognomen Tsutsumi (堤 , Tsutsumi , つつみ) , in the entire world, is quite a rare family name. The cognomen Tsutsumi is characteristic of Paraguay, where it is quite a rare surname, Japan, where it is a rare surname, and Hong Kong. In absolute terms, it is the most numerous in China, Japan, and Brazil. Likewise, Tsutsumi is the forename as well as the last name.