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De marathon van Fukuoka 1978 werd gelopen op zondag 3 december 1978. Het was de 32e editie van deze marathon. Aan deze wedstrijd mochten alleen mannelijke elitelopers deelnemen.
De Japanner Toshihiko Seko kwam als eerste over de streep in 2:10.21.0.
| rang | naam | land | tijd |
|---|---|---|---|
 | Toshihiko Seko |  JPN | 2:10.21.0 |
 | Hideki Kita | JPN | 2:11.05.0 |
 | Shigeru So | JPN | 2:11.41.2 |
| 4 | Trevor Wright |  ENG | 2:12.31.7 |
| 5 | Leonid Moseyev |  URS | 2:12.44.0 |
| 6 | Bill Rodgers |  USA | 2:12.51.3 |
| 7 | Christopher Wardlaw |  AUS | 2:13.02 |
| 8 | Randy Thomas | USA | 2:13.11 |
| 9 | Garry Bjorklund | USA | 2:13.15 |
| 10 | Richard Hughson | .svg){kind=small} CAN | 2:13.21 |
| 11 | Kunimitsu Ito | JPN | 2:14.13 |
| 12 | Yuriy Laptyev | URS | 2:14.14 |
| 13 | Brian Maxwell | CAN | 2:15.31 |
| 14 | Nikolay Penzin | URS | 2:15.40 |
| 15 | Takeshi So | JPN | 2:16.08 |
| 16 | Kenji Kimihara | JPN | 2:17.07 |
Bronnen, noten en/of referenties
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