Former Toronto Mayor Rob Ford has died at 46 after a fight with cancer, his family announced Tuesday.

According to The Globe and Mail, he died at Mount Sinai Hospital in Toronto after an 18-month battle.

Ford, who was first elected to the City Council in 2000, was elected the 64th mayor of Toronto in 2010. In September 2014, he was diagnosed with pleomorphic liposarcoma, a rare form of soft-tissue cancer. The diagnosis came amid a heated re-election battle, which forced him to withdraw his candidacy for a second term in January 2014.

By last September, he declared himself cancer-free and appeared alongside Stephen Harper during the federal election. However, in October, new tumors were found and chemotherapy began again.

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