I’m keeping rats of over 5 years now, and even the treatment options at one of the most experienced rat vets in the area feel just above medieval.
There are basically 5 medications that are tried (NSAIDs, antibiotics, bronchiodialators and diuretics, cortisol) based on the presumed diagnosis, and easily located tumors can be operated on (depending on the skill of the vet).
Our vet aptly described the state of the art in veterinary care for rats as knowing the LD50 dose of all medications for rats, but there being nearly no literature or experience on therapeutic doses. Through trial and error vets have developed therapeutic protocols for rats over the last decades, but the speed it’s been going at is slow and availability of medicine in the right dosages scarce (rats are tiny after all). Just now we’re going through treatment of a respiratory issue where the medicine of choice is no longer being produced, and our main option after the vet uses up her remaining 2 vials is to start experimenting with dosing for a yet unknown in rats (aside from LD50) replacement medicine.
For what it’s worth, the rats in this article are gambian pouched rats which have life expectancies of around 5-7 years, vs. 1.5 - 2.5 years for domestic fancy rats.