Should I clean out my email?

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I have a total of over 118,000 pages of emails in my main account. I have just neglected to keep it cleaned and organized over the years. Is it even necessary? I mean, what could happen if you don't clean out your email? And say I did want to clean it out, what is the easiest way to delete many emails at once? I have some that I need to keep but most of them can go.