Ok, so I understood the purpose of Mail Sent Summary wrong. I am aware of the volume of incoming SPAM. Much of it is caught by the RBLs that are set up. Even more are to accounts that don't actually exist.
Thanks for the help guys.
The "View Sent Summary" shows emails that are sent from your server (either from an account in your server or through your server).
When you click the user (for ex. -remote-) it shows "messages sent from and received by your server".
If you then want to see messages sent by that user, you select "Delivery type: Sent Emails" and click "Run report".
In the search report you see a list of "Senders", that are "remote". If you look at the recipients, the email address is either a "local" address, which means that it is in "Sent Emails" because that address is forwarded to an external address, or if that address is a "remote" address it means that someone ("-remote-") has sent to that address
through your server.