Intrathoracic extramedullary hematopoiesis is a rare disease in the differe
ntial diagnosis of mediastinal masses. It is suggested that asymptomatic ma
sses should not be treated. A correct diagnosis can thus help to avoid an o
peration. The aim of this case report is to draw attention to this phenomen
on as a cause of mediastinal masses and to provide information about diagno
stic facilities available. We report the case of a 53-year-old male patient
with hereditary spherocytosis as well as the case of a 59-year-old male pa
tient with pyruvate kinase deficiency who showed intrathoracic paravertebra
l masses, that were identified in the first case by video-assisted thoracos
copic intervention (VATS) and in the second case by thoracotomy as a region
of extramedullary hematopoiesis.