A medical image management apparatus includes: an information obtainment means (13) that obtains information representing a region of a subject represented in a three-dimensional image constructed based on a plurality of slice images captured by a medical image imaging apparatus (20), the plurality of slice images being adjacent to each other in a predetermined direction; a reconstruction means (14) that reconstructs, based on the information representing the region obtained by the information obtainment means (13), a plurality of slice images from the three-dimensional image, the plurality of slice images being adjacent to each other in a direction that has been correlated with the region in advance; a recording means (12) that records the plurality of slice images reconstructed by the reconstruction means (14); and a distribution control means (11) that sequentially distributes, in response to a distribution request for the three-dimensional image input from an external terminal (30), the plurality of reconstructed slice images from the recording means (12) to the external terminal (30).