Transplants have played a vital role in cancer treatment in the past few years. Many leukemia and lymphoma patients have benefited from this procedure.  Many lab tests have to be performed before becoming a candidate to receive a transplant. There are three types of transplants that are available in the medical community.
Autologous
Autologous HSCT requires the extraction (
apheresis)
 of haematopoietic stem cells (HSC) from the patient and storage of the 
harvested cells in a freezer. The patient is then treated with high-dose
 
chemotherapy with or without 
radiotherapy with the intention of eradicating the patient's malignant cell population at the cost of partial or complete 
bone marrow
 ablation (destruction of patient's bone marrow function to grow new 
blood cells). The patient's own stored stem cells are then returned to 
his/her body, where they replace destroyed tissue and resume the 
patient's normal blood cell production. Autologous transplants have the 
advantage of lower risk of infection during the immune-compromised 
portion of the treatment since the recovery of immune function is rapid.
 Also, the incidence of patients experiencing rejection (
graft-versus-host disease)
 is very rare due to the donor and recipient being the same individual. 
These advantages have established autologous HSCT as one of the standard
 second-line treatments for such diseases as 
lymphoma.
 However, for others such as 
Acute Myeloid Leukemia,
 the reduced mortality of the autogenous relative to allogeneic HSCT may
 be outweighed by an increased likelihood of cancer relapse and related 
mortality, and therefore the allogeneic treatment may be preferred for 
those conditions. 
Researchers have conducted small studies using non-myeloablative 
hematopoietic stem cell transplantation as a possible treatment for type
 I (insulin dependent) diabetes in children and adults. Results have 
been promising; however, as of 2009 it was premature to speculate whether these experiments will lead to effective treatments for diabetes.
 Allogeneic
Allogeneic HSCT involves two people: the (healthy) donor and the (patient) recipient. Allogeneic HSC donors must have a tissue (
HLA) type that matches the recipient. Matching is performed on the basis of variability at three or more 
loci
 of the HLA gene, and a perfect match at these loci is preferred. Even 
if there is a good match at these critical alleles, the recipient will 
require 
immunosuppressive medications to mitigate 
graft-versus-host disease. Allogeneic transplant donors may be 
related (usually a closely HLA matched sibling), 
syngeneic (a 
monozygotic
 or 'identical' twin of the patient - necessarily extremely rare since 
few patients have an identical twin, but offering a source of perfectly 
HLA matched stem cells) or 
unrelated (donor who is not related 
and found to have very close degree of HLA matching). Unrelated donors 
may be found through a registry of bone marrow donors such as the 
National Marrow Donor Program.
 People who would like to be tested for a specific family member or 
friend without joining any of the bone marrow registry data banks may 
contact a private HLA testing laboratory and be tested with a mouth swab
 to see if they are a potential match. A "
savior sibling" may be intentionally selected by 
preimplantation genetic diagnosis
 in order to match a child both regarding HLA type and being free of any
 obvious inheritable disorder. Allogeneic transplants are also performed
 using umbilical 
cord blood
 as the source of stem cells. In general, by transplanting healthy stem 
cells to the recipient's immune system, allogeneic HSCTs appear to 
improve chances for cure or long-term remission once the immediate 
transplant-related complications are resolved.
A compatible donor is found by doing additional HLA-testing from the 
blood of potential donors. The HLA genes fall in two categories (Type I 
and Type II). In general, mismatches of the Type-I genes (i.e. HLA-A, 
HLA-B, or HLA-C) increase the risk of graft rejection. A mismatch of an 
HLA Type II gene (i.e. HLA-DR, or 
HLA-DQB1) increases the risk of graft-versus-host disease. In addition a genetic mismatch as small as a single 
DNA base pair
 is significant so perfect matches require knowledge of the exact DNA 
sequence of these genes for both donor and recipient. Leading transplant
 centers currently perform testing for all five of these HLA genes 
before declaring that a donor and recipient are HLA-identical.
Race and 
ethnicity
 are known to play a major role in donor recruitment drives, as members 
of the same ethnic group are more likely to have matching genes, 
including the genes for HLA.
Synogeneic  
Syngeneic bone marrow transplantation is a procedure in which a person receives 
bone marrow donated by his or her healthy 
identical twin.  This is more of a specific term for a for the procedure above.
For more information:
http://www.cancer.gov/cancertopics/factsheet/Therapy/bone-marrow-transplant
http://en.wikipedia.org/wiki/Syngeneic_bone_marrow_transplantation