A photoacoustic wave measurement device according to the present invention includes: an optical fiber that outputs pulsed light; an external spacer that is disposed between a pulsed-light output end of the optical fiber and a measurement object, and which is adapted to allow the pulsed light to pass therethrough; a piezoelectric element that receives a photoacoustic wave generated by the pulsed light from the measurement object and converts the photoacoustic wave into an electric signal; and a spacer that is disposed between the external spacer and the piezoelectric element, and which is adapted to allow the photoacoustic wave to pass therethrough. The piezoelectric element is farther from the measurement object than the pulsed-light output end. A part of the optical fiber is disposed within the spacer.