Diem -- who found out she had ovarian cancer 3 weeks before her first appearance on MTV in 2006 -- was reportedly surrounded by family this week in a New York hospital as her condition worsened.
Back in August, the reality star collapsed on set while filming "The Challenge" ... then announced she had been diagnosed with stomach and colon cancer. It eventually spread to her liver and lymph nodes as well.
One of her most inspirational moments on MTV came when she took off a wig to reveal her hair loss due to chemotherapy.
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