Middle-earth or Chūgoku?

~ lojmit
The map from a Japanese edition of Lord of the Rings. Source.

All these places are in the middle:
中国 is China.
中つ国 is Middle-earth.
中国地方 is Chūgoku Region.
中東 is the Middle East.
ミドルセックス is Middlesex.
ミドルトン is Middleton.

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