Step one: Pre-transplant evaluation

Before your stem cells are collected, your oncologist or transplant physician will order diagnostic tests to determine if you should proceed with the transplant. Depending on the type of cancer you have, these tests may include X-rays, CT scans, PET imaging, MRIs, bone scans, biopsy, blood tests, urine tests, heart scan, EKG, and lung function tests.

You will also undergo one or two marrow sampling tests to determine if the cancer involves your bone marrow and the extent of the involvement. Other tests will be done to evaluate your general physical condition. High-dose chemotherapy places extra stress on your body. Minor problems that may not be readily apparent can cause major complications after high-dose chemotherapy.

You will also be asked to have a dentist check your teeth if not been done recently. This must include both x-rays and cleaning of your teeth.

Before mobilization, your history and evaluation will be reviewed by a transplant committee, and you will meet with a transplant coordinator and social worker. After this evaluation, your doctor will review treatment options with you. You will be given an opportunity to ask any additional questions you may have and if you decide to proceed with the transplant, you will be asked to sign a consent form.